LISA PETERSEN

STATEN ISLAND, NY
NPI1609141209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  571817-1)
Enumeration Date2012-03-14
Last Update Date2012-03-14
Business Address
Mrs. LISA PETERSEN Nurse
191 VERMONT AVE
STATEN ISLAND, NY 10305-1727
Phone number: 718-720-7961
Mailing Address
Mrs. LISA PETERSEN Nurse
191 VERMONT AVE
STATEN ISLAND, NY 10305-1727
Phone number: 718-720-7961
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