Individual
TREASURE RENELL ASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E MAIN ST, MOUNT KISCO, NY 10549-3417
(401) 429-8542
Mailing address
425 BROWN ST APT 7, ATTLEBORO, MA 02703-7483
(401) 429-8542
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433034
NY
363LA2100X
Acute Care Nurse Practitioner
RN2343545
MA
Other
Enumeration date
10/19/2024
Last updated
10/19/2024
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