THEDA BURRELL

WHITESTONE, NY
NPI1922680958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  469042)
Enumeration Date2021-04-28
Last Update Date2021-04-28
Business Address
THEDA BURRELL
157-15 19TH AVE
WHITESTONE, NY 11357
Phone number: 718-746-0400
Mailing Address
THEDA BURRELL
157-15 19TH AVE
WHITESTONE, NY 11357
Phone number: 718-746-0400