KETTLY ST SURIN

QUEENS VILLAGE, NY
NPI1922320738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  215736)
Enumeration Date2010-02-20
Last Update Date2016-10-31
Business Address
-- KETTLY ST SURIN LPN
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number: 917-882-3745
Mailing Address
-- KETTLY ST SURIN LPN
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number:
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