SEAN ENGEBRETSEN

MEDFORD, NY
NPI1790068328
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  288008)
Enumeration Date2011-09-20
Last Update Date2011-09-20
Business Address
Mr. SEAN ENGEBRETSEN
15 PRIVATE RD
MEDFORD, NY 11763-3723
Phone number: 631-327-2492
Mailing Address
Mr. SEAN ENGEBRETSEN
15 PRIVATE RD
MEDFORD, NY 11763-3723
Phone number: