CHARLESE JI-ARA PANNELL

BELLPORT, NY
NPI1912257288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  310526)
Enumeration Date2012-09-14
Last Update Date2012-09-14
Business Address
Miss CHARLESE JI-ARA PANNELL
61 BEAVERDAM ROAD
BELLPORT, NY 11713-2125
Phone number: 631-803-8327
Mailing Address
Miss CHARLESE JI-ARA PANNELL
61 BEAVERDAM ROAD
BELLPORT, NY 11713-2125
Phone number: 631-803-8327
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