GRACIEUSE FONTAINE

BRENTWOOD, NY
NPI1255952040
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  338203)
Enumeration Date2020-05-03
Last Update Date2020-05-03
Business Address
Ms. GRACIEUSE FONTAINE LPN
134 FLOYD ST
BRENTWOOD, NY 11717-2647
Phone number: 631-855-2787
Mailing Address
Ms. GRACIEUSE FONTAINE LPN
134 FLOYD ST
BRENTWOOD, NY 11717-2647
Phone number: 631-855-2787
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