RENEE VICSAMA

SPRING VALLEY, NY
NPI1821736653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  343835)
Enumeration Date2022-05-23
Last Update Date2022-05-23
Business Address
RENEE VICSAMA
150 W ECKERSON RD
SPRING VALLEY, NY 10977-3527
Phone number: 845-480-9195
Mailing Address
RENEE VICSAMA
150 W ECKERSON RD
SPRING VALLEY, NY 10977-3527
Phone number: