JENNY ROSE MANCUSO

RIVERHEAD, NY
NPI1528366150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  6357651)
Enumeration Date2011-03-07
Last Update Date2011-03-07
Business Address
Mrs. JENNY ROSE MANCUSO RN
556 E MAIN ST
RIVERHEAD, NY 11901-2669
Phone number: 631-369-1927
Mailing Address
Mrs. JENNY ROSE MANCUSO RN
8 GREENMIST DR
LAKE RONKONKOMA, NY 11779-4528
Phone number: 631-585-5722
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