Individual
CHARISSE P TEXEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22 HARTH DR, NEW WINDSOR, NY 12553-7421
(845) 729-6647
Mailing address
22 HARTH DR, NEW WINDSOR, NY 12553-7421
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315677
NY
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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