MARIE PROVIDENCE

BROOKLYN, NY
NPI1326505025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  334304)
Enumeration Date2019-02-28
Last Update Date2019-02-28
Business Address
MARIE PROVIDENCE
6321 NEW UTRECHT AVE
BROOKLYN, NY 11219-5425
Phone number: 212-687-7464
Mailing Address
MARIE PROVIDENCE
6321 NEW UTRECHT AVE
BROOKLYN, NY 11219-5425
Phone number: 212-687-7464
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