DAVESE DEOMI BLACK

MASSAPEQUA, NY
NPI1548827488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  611477-1)
Enumeration Date2019-05-27
Last Update Date2019-06-11
Business Address
DAVESE DEOMI BLACK
4238 MERRICK RD
MASSAPEQUA, NY 11758-6016
Phone number: 516-900-1978
Mailing Address
DAVESE DEOMI BLACK
4238 MERRICK RD
MASSAPEQUA, NY 11758-6016
Phone number: 516-900-1978
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