KETTLY DERIVAL

NORTH BALDWIN, NY
NPI1497903306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  573255)
Enumeration Date2008-09-04
Last Update Date2008-09-04
Business Address
Miss KETTLY DERIVAL RN
927 DE MOTT AVE
NORTH BALDWIN, NY 11510-1926
Phone number: 516-204-5518
Mailing Address
Miss KETTLY DERIVAL RN
927 DEMOTT AVE
NORTH BALDWIN, NY 11510-1926
Phone number: 516-204-5518
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