WILLIAM DOUGLAS

WEST ISLIP, NY
NPI1780821058
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  236107)
Enumeration Date2009-01-08
Last Update Date2009-01-08
Business Address
WILLIAM DOUGLAS LPN
1709 MADISON AVE
WEST ISLIP, NY 11795-1726
Phone number: 631-587-3136
Mailing Address
WILLIAM DOUGLAS LPN
1709 MADISON AVE
WEST ISLIP, NY 11795-1726
Phone number: 631-587-3136
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