LATOYA AMANDA GORDON

BRENTWOOD, NY
NPI1366790578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  301688-1)
Enumeration Date2012-08-17
Last Update Date2012-08-17
Business Address
-- LATOYA AMANDA GORDON
18A DEKALB AVE
BRENTWOOD, NY 11717-1606
Phone number: 631-316-7893
Mailing Address
-- LATOYA AMANDA GORDON
18A DEKALB AVE
BRENTWOOD, NY 11717-1606
Phone number: 631-316-7893
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