ELINES G BLACK

DEER PARK, NY
NPI1649086398
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  351305)
Enumeration Date2024-12-07
Last Update Date2024-12-07
Business Address
ELINES G BLACK
209 SAMMIS AVE
DEER PARK, NY 11729-6814
Phone number: 631-943-4464
Mailing Address
ELINES G BLACK
209 SAMMIS AVE
DEER PARK, NY 11729-6814
Phone number: 631-943-4464
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