LOURDES MARIE BOURSIQUOT

DEER PARK, NY
NPI1780867887
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  256596-1)
Enumeration Date2007-12-11
Last Update Date2007-12-11
Business Address
Mrs. LOURDES MARIE BOURSIQUOT LPN
35 COLUMBO DR
DEER PARK, NY 11729-1808
Phone number: 631-242-4488
Mailing Address
Mrs. LOURDES MARIE BOURSIQUOT LPN
35 COLUMBO DR
DEER PARK, NY 11729-1808
Phone number: 631-242-4488