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Individual
MRS. DESIREE ANGELA VAN SLUYTMAN
Active
Individual
MRS. DESIREE ANGELA VAN SLUYTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
636659
NY
164W00000X
Licensed Practical Nurse
265456
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265456
UNIVERSITY OF THE STATE OF NEW YORK
NY
Enumeration date
10/28/2008
Last updated
06/27/2011
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