CASSANDRA PROVILUS

BROOKLYN, NY
NPI1780098392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  309088-1)
Enumeration Date2014-06-12
Last Update Date2014-06-12
Business Address
Miss CASSANDRA PROVILUS LPN
450 E 26TH ST PH
BROOKLYN, NY 11226-7711
Phone number: 347-469-5018
Mailing Address
Miss CASSANDRA PROVILUS LPN
450 E 26TH ST PH
BROOKLYN, NY 11226-7711
Phone number: 347-469-5018
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