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1164797007
TERESA MARIE PENA
STATEN ISLAND, NY
NPI
1164797007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: NY 283029-1)
Enumeration Date
2012-03-10
Last Update Date
2012-03-10
Business Address
-- TERESA MARIE PENA RN
555 PAGE AVE
STATEN ISLAND, NY 10307-2033
Phone number: 718-697-3763
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Mailing Address
-- TERESA MARIE PENA RN
555 PAGE AVE
STATEN ISLAND, NY 10307-2033
Phone number:
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