FABIOLA MENTOR

FAR ROCKAWAY, NY
NPI1881964377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  304592)
Enumeration Date2011-12-30
Last Update Date2011-12-30
Business Address
-- FABIOLA MENTOR
333 BEACH 32ND ST
FAR ROCKAWAY, NY 11691-2065
Phone number: 718-213-8074
Mailing Address
-- FABIOLA MENTOR
333 BEACH 32ND ST 6G
FAR ROCKAWAY, NY 11691-2065
Phone number: 718-213-8074
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