CLARENCE FREDERIQUE

VALLEY STREAM, NY
NPI1487908745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  311641)
Enumeration Date2012-11-07
Last Update Date2012-11-07
Business Address
-- CLARENCE FREDERIQUE LPN
13 CLEVELAND ST
VALLEY STREAM, NY 11580-6003
Phone number: 516-823-0739
Mailing Address
-- CLARENCE FREDERIQUE LPN
15 CHURCH ST
GREAT NECK, NY 11023-1126
Phone number: 347-546-5645
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