EBONY DESIREE DEROCHE

BRONX, NY
NPI1164859468
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  315024)
Enumeration Date2013-10-01
Last Update Date2013-10-01
Business Address
-- EBONY DESIREE DEROCHE
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
Mailing Address
-- EBONY DESIREE DEROCHE
2052 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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