WAVENEY VIRGINIA DOUGLAS

FAR ROCKAWAY, NY
NPI1831210004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  170906-1)
Enumeration Date2007-04-03
Last Update Date2007-07-09
Business Address
Mrs. WAVENEY VIRGINIA DOUGLAS lpn
1382 MCBRIDE ST
FAR ROCKAWAY, NY 11691-3005
Phone number: 718-337-3976
Mailing Address
Mrs. WAVENEY VIRGINIA DOUGLAS lpn
1382 MCBRIDE ST
FAR ROCKAWAY, NY 11691-3005
Phone number: 718-337-3976
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