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1740038579
MA. CHARIDEL DE LA FUENTE
BELLEROSE, NY
NPI
1740038579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: NY 809321)
Enumeration Date
2024-05-07
Last Update Date
2024-05-07
Business Address
MA. CHARIDEL DE LA FUENTE RN, PMH-BC
7403 COMMONWEALTH BLVD
BELLEROSE, NY 11426-1839
Phone number: 718-264-4805
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Mailing Address
MA. CHARIDEL DE LA FUENTE RN, PMH-BC
7403 COMMONWEALTH BLVD
BELLEROSE, NY 11426-1839
Phone number: 718-264-4805
Copy
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