GERTRUDE J JENNIE FORTUNE

ROSEDALE, NY
NPI1538567854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  282325-1)
Enumeration Date2014-12-18
Last Update Date2014-12-18
Business Address
-- GERTRUDE J JENNIE FORTUNE
13730 242ND ST ROSEDALE NY
ROSEDALE, NY 11422-1719
Phone number: 917-744-7264
Mailing Address
-- GERTRUDE J JENNIE FORTUNE
13730 242ND ST ROSEDALE NY
ROSEDALE, NY 11422-1719
Phone number: 917-744-7264