DALAS TADDEO

RONKONKOMA, NY
NPI1598295271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  231514-1)
Enumeration Date2017-06-15
Last Update Date2022-07-21
Business Address
DALAS TADDEO LPN
4490 EXPRESS DRIVE S
RONKONKOMA, NY 11779
Phone number: 718-578-9719
Mailing Address
DALAS TADDEO LPN
4490 EXPRESS DR S
RONKONKOMA, NY 11779-5532
Phone number: 718-578-9719
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