Individual
CHRISTINA BRUNQUELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10 E 4TH ST, APT B, PATCHOGUE, NY 11772-2326
(631) 433-0956
Mailing address
10 E 4TH ST, APT B, PATCHOGUE, NY 11772-2326
(631) 433-0956
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322115-1
NY
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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