LAVERN MANNING

ROSEDALE, NY
NPI1376829515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  301110-1)
Enumeration Date2011-11-02
Last Update Date2011-11-02
Business Address
-- LAVERN MANNING
14755 WELLER LN
ROSEDALE, NY 11422-2840
Phone number: 347-869-8473
Mailing Address
-- LAVERN MANNING
14755 WELLER LN APT #2
ROSEDALE, NY 11422-2840
Phone number: 347-869-8473
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