KWAN SOUTHERLAND

FRESH MEADOWS, NY
NPI1871991117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: NY  275433)
Enumeration Date2014-12-19
Last Update Date2014-12-19
Business Address
-- KWAN SOUTHERLAND LPN
67-02B 186TH LANE
FRESH MEADOWS, NY 11365
Phone number: 347-712-7965
Mailing Address
-- KWAN SOUTHERLAND LPN
67-02B 186TH LANE APT 2C
FRESH MEADOWS, NY 11365
Phone number:
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