NICOLE FORTIN

HOLTSVILLE, NY
NPI1245585488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  305951)
Enumeration Date2012-07-13
Last Update Date2012-07-13
Business Address
-- NICOLE FORTIN
16 VAUTRIN AVE
HOLTSVILLE, NY 11742-1624
Phone number: 631-879-1018
Mailing Address
-- NICOLE FORTIN
16 VAUTRIN AVE
HOLTSVILLE, NY 11742-1624
Phone number: 631-879-1018