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Individual

BETCHINA SAGAILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19407 112TH RD, SAINT ALBANS, NY 11412-2413
(646) 806-8157
Mailing address
19407 112TH RD, SAINT ALBANS, NY 11412-2413
(646) 806-8157

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
OTHER
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OTHER
NY
Enumeration date
08/19/2020
Last updated
09/02/2020
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