SHA-SHENA R OVERTON

CORAM, NY
NPI1518240829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  10-307257)
Enumeration Date2011-09-22
Last Update Date2011-09-22
Business Address
-- SHA-SHENA R OVERTON LPN
15 LINCOLN CT
CORAM, NY 11727-3912
Phone number: 631-846-4288
Mailing Address
-- SHA-SHENA R OVERTON LPN
15 LINCOLN CT
CORAM, NY 11727-3912
Phone number: 631-846-4288
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