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1790372548
SAMANTHA RODRIGUEZ
CENTRAL ISLIP, NY
NPI
1790372548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 340356)
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
SAMANTHA RODRIGUEZ
334 ATLANTIC ST
CENTRAL ISLIP, NY 11722-3225
Phone number: 516-242-5628
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Mailing Address
SAMANTHA RODRIGUEZ
334 ATLANTIC ST
CENTRAL ISLIP, NY 11722-3225
Phone number: 516-242-5628
Copy
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