Individual
JAIMIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 SEAFIELD LN, WESTHAMPTON BEACH, NY 11978-2719
(631) 288-1122
Mailing address
77 SILAS CARTER RD, MANORVILLE, NY 11949-2413
(631) 275-4611
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
290130-01
NY
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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