KAITLIN ELIZABETH ARCHER

RONKONKOMA, NY
NPI1508390873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  325513)
Enumeration Date2017-04-13
Last Update Date2017-04-13
Business Address
-- KAITLIN ELIZABETH ARCHER
28 CROYDON AVE
RONKONKOMA, NY 11779-1927
Phone number: 631-428-6879
Mailing Address
-- KAITLIN ELIZABETH ARCHER
28 CROYDON AVE
RONKONKOMA, NY 11779-1927
Phone number: 631-428-6879