Individual
CHANTAL DUVENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 SHARON LN, DEER PARK, NY 11729-5507
(347) 610-0138
Mailing address
6 SHARON LN, DEER PARK, NY 11729-5507
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33456801
NY
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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