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Individual

MRS. CARMEN L REGION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
23 FIDDLERS BRIDGE RD, STAATSBURG, NY 12580-5727
(845) 889-8223
Mailing address
23 FIDDLERS BRIDGE RD, STAATSBURG, NY 12580-5727
(845) 889-8223

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10 217985
NY

Other

Enumeration date
07/21/2009
Last updated
07/21/2009
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