HEATHER DECARLO

MEDFORD, NY
NPI1912451923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  325971-1)
Enumeration Date2016-08-08
Last Update Date2016-08-08
Business Address
-- HEATHER DECARLO LPN
2712 FALCON AVE
MEDFORD, NY 11763-2038
Phone number: 631-488-5874
Mailing Address
-- HEATHER DECARLO LPN
PO BOX 192
MEDFORD, NY 11763-0192
Phone number: 631-488-5874
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