JEAN LAVACHE

JAMAICA, NY
NPI1316250467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  618203)
Enumeration Date2010-07-19
Last Update Date2010-07-19
Business Address
-- JEAN LAVACHE
8825 163RD ST
JAMAICA, NY 11432-4046
Phone number: 718-739-0045
Mailing Address
-- JEAN LAVACHE
8825 163RD ST
JAMAICA, NY 11432-4046
Phone number: 718-739-0045
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