MONDALE LUCAS

SELDEN, NY
NPI1265105662
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WH0200X Registered Nurse, Home Health
(Licence: NY  819750)
Enumeration Date2021-07-30
Last Update Date2021-07-30
Business Address
MONDALE LUCAS
111 COLLEGE RD APT 9P
SELDEN, NY 11784-2836
Phone number: 631-764-3716
Mailing Address
MONDALE LUCAS
111 COLLEGE RD APT 9P
SELDEN, NY 11784-2836
Phone number: 631-764-3716
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