PAULINE VERONICA ILLIDGE

LAURELTON, NY
NPI1346492378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  277392)
Enumeration Date2008-10-22
Last Update Date2008-10-22
Business Address
Ms. PAULINE VERONICA ILLIDGE
23218 MERRICK BLVD
LAURELTON, NY 11413-2115
Phone number: 718-528-3432
Mailing Address
Ms. PAULINE VERONICA ILLIDGE
23218 MERRICK BLVD
LAURELTON, NY 11413-2115
Phone number: 718-528-3432
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