VEDALIE SOUVENANCE

QUEENS VILLAGE, NY
NPI1407455884
Other NameVEDALIE SOUVENANCE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F311426-01)
Enumeration Date2020-10-18
Last Update Date2024-11-19
Business Address
VEDALIE SOUVENANCE NP
21229 HILLSIDE AVE APT 3JE
QUEENS VILLAGE, NY 11427-1851
Phone number: 917-825-0930
Mailing Address
VEDALIE SOUVENANCE NP
1266 DEKOVEN ST
ROCKVILLE CENTRE, NY 11570-3402
Phone number: 917-825-0930