KENDRA TERRELL FOOTMAN

CENTRAL ISLIP, NY
NPI1750683595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  284107)
Enumeration Date2010-11-30
Last Update Date2010-11-30
Business Address
KENDRA TERRELL FOOTMAN LPN
150 BRIER ST
CENTRAL ISLIP, NY 11722-3939
Phone number: 631-960-1978
Mailing Address
KENDRA TERRELL FOOTMAN LPN
2 SOMERSET RD W
AMITYVILLE, NY 11701-2022
Phone number: 631-960-1978