STACEY REBBIE GRANVILLE

JAMAICA, NY
NPI1952625865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  295683-1)
Enumeration Date2010-03-22
Last Update Date2010-03-22
Business Address
Miss STACEY REBBIE GRANVILLE LPN
14042 172ND ST
JAMAICA, NY 11434-4624
Phone number: 718-926-6744
Mailing Address
Miss STACEY REBBIE GRANVILLE LPN
14042 172ND ST
JAMAICA, NY 11434-4624
Phone number: 718-926-6744
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