SHAWNDEL MINTER

MEDFORD, NY
NPI1700375078
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  331328-1)
Enumeration Date2018-05-02
Last Update Date2018-05-02
Business Address
SHAWNDEL MINTER
125 MAPLE LN
MEDFORD, NY 11763-1027
Phone number: 631-846-7606
Mailing Address
SHAWNDEL MINTER
125 MAPLE LN
MEDFORD, NY 11763-1027
Phone number: 631-846-7606
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