STEPHANIE PROVIDENCE

BROOKLYN, NY
NPI1699101923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  309996-1)
Enumeration Date2013-09-18
Last Update Date2013-09-18
Business Address
Miss STEPHANIE PROVIDENCE LPN
361 E 26TH ST
BROOKLYN, NY 11226-7122
Phone number: 347-444-9941
Mailing Address
Miss STEPHANIE PROVIDENCE LPN
361 E 26TH ST
BROOKLYN, NY 11226-7122
Phone number: 347-444-9941
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