Individual
CHARLOTTE DAMETRA FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 LAKEPOINTE DRIVE, MIDDLEISLAND, NY 11967
(804) 400-5487
Mailing address
420 LAKEPOINTE DRIVE, MIDDLEISLAND, NY 11967
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305609-1
NY
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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