MARLIE JEAN

BRENTWOOD, NY
NPI1609203777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  310850)
Enumeration Date2013-10-03
Last Update Date2013-10-03
Business Address
Miss MARLIE JEAN LPN
231 NEWMAN ST
BRENTWOOD, NY 11717
Phone number: 347-786-1704
Mailing Address
Miss MARLIE JEAN LPN
231 NEWMAN ST
BRENTWOOD, NY 11717-5015
Phone number: