CHANTALE D BEAUVAIS

MASSAPEQUA, NY
NPI1447575956
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F335289-1)
Enumeration Date2010-03-29
Last Update Date2010-03-29
Business Address
-- CHANTALE D BEAUVAIS
13 ANN ROSE ST
MASSAPEQUA, NY 11758
Phone number: 516-797-0496
Mailing Address
-- CHANTALE D BEAUVAIS
13 ANN ROSE ST
MASSAPEQUA, NY 11758
Phone number:
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