LACEY D PROVIDENCE

BROOKLYN, NY
NPI1538948856
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WS0200X Registered Nurse, School
(Licence: NY  82954601)
Enumeration Date2023-09-26
Last Update Date2023-09-26
Business Address
LACEY D PROVIDENCE Registered Nurse
520 E 91ST ST FL 2
BROOKLYN, NY 11236-1021
Phone number: 347-232-4288
Mailing Address
LACEY D PROVIDENCE Registered Nurse
520 E 91ST ST FL 2
BROOKLYN, NY 11236-1021
Phone number: 347-232-4288
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