ALTHEA MARIE BURGESS

DEER PARK, NY
NPI1942468889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  204219)
Enumeration Date2008-05-28
Last Update Date2008-05-28
Business Address
Mrs. ALTHEA MARIE BURGESS LPN
158 MAIDA AVE
DEER PARK, NY 11729
Phone number: 631-242-0637
Mailing Address
Mrs. ALTHEA MARIE BURGESS LPN
158 MAIDA AVE
DEER PARK, NY 11729
Phone number: 631-242-0637