SAMANTA BOURSIQUOT

VALLEY STREAM, NY
NPI1952872681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  328485)
Enumeration Date2018-12-06
Last Update Date2018-12-06
Business Address
SAMANTA BOURSIQUOT LPN
7 BISMARK AVE
VALLEY STREAM, NY 11581-1455
Phone number: 516-263-4467
Mailing Address
SAMANTA BOURSIQUOT LPN
7 BISMARK AVE
VALLEY STREAM, NY 11581-1455
Phone number: 516-263-4467
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