MARY DIANE KALKHOF

MEDFORD, NY
NPI1699080606
Former NameMARY DIANE KALKHOF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  237551-1)
Enumeration Date2010-08-13
Last Update Date2010-08-13
Business Address
Mrs. MARY DIANE KALKHOF LPN
5 RUSSELL CT
MEDFORD, NY 11763-4013
Phone number: 631-475-7831
Mailing Address
Mrs. MARY DIANE KALKHOF LPN
5 RUSSELL CT
MEDFORD, NY 11763-4013
Phone number: 631-475-7831