KRISTEN FAITH DETTLING

EAST NORTHPORT, NY
NPI1366867236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: NY  680091)
Enumeration Date2014-02-28
Last Update Date2014-02-28
Business Address
-- KRISTEN FAITH DETTLING RN
708 5TH AVE
EAST NORTHPORT, NY 11731-2311
Phone number: 631-742-4994
Mailing Address
-- KRISTEN FAITH DETTLING RN
708 5TH AVE
EAST NORTHPORT, NY 11731-2311
Phone number: 631-742-4994
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