VENICE LANE

ROSEDALE, NY
NPI1174200539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  240351)
Enumeration Date2023-06-28
Last Update Date2023-06-28
Business Address
VENICE LANE
13509 233RD ST
ROSEDALE, NY 11422-1504
Phone number: 917-750-8911
Mailing Address
VENICE LANE
13509 233RD ST
ROSEDALE, NY 11422-1504
Phone number: