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1942850656
TRICHA SAMANTHA FREDERICK
BRONX, NY
NPI
1942850656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 306572)
Enumeration Date
2019-09-14
Last Update Date
2019-09-14
Business Address
TRICHA SAMANTHA FREDERICK LPN
250 GRAND CONCOURSE
BRONX, NY 10451-5430
Phone number: 718-292-4455
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Mailing Address
TRICHA SAMANTHA FREDERICK LPN
250 GRAND CONCOURSE
BRONX, NY 10451-5430
Phone number: 718-292-4455
Copy
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