JADE GABRIELLE DEGRAUW

SHIRLEY, NY
NPI1588175434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  329275)
Enumeration Date2017-10-18
Last Update Date2017-10-18
Business Address
JADE GABRIELLE DEGRAUW
52 CANDIDO AVE
SHIRLEY, NY 11967-1706
Phone number: 631-626-8222
Mailing Address
JADE GABRIELLE DEGRAUW
52 CANDIDO AVE
SHIRLEY, NY 11967-1706
Phone number: 631-626-8222