Individual
MRS. CARINE F GOUBOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
140 ROCKLAND LN, SPRING VALLEY, NY 10977-3141
(845) 290-0079
Mailing address
140 ROCKLAND LN, SPRING VALLEY, NY 10977-3141
(845) 290-0079
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
808047
NY
164W00000X
Licensed Practical Nurse
2852791
NY
Other
Enumeration date
02/04/2010
Last updated
06/06/2024
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