Individual
MS. ESTHER ELIZA DEFOURNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15525 NORDHOFF ST APT 38, NORTH HILLS, CA 91343-3271
(631) 645-4662
Mailing address
15525 NORDHOFF ST APT 38, NORTH HILLS, CA 91343-3271
(631) 645-4662
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
304823-1
NY
363LF0000X
Family Nurse Practitioner
Primary
95029470
CA
Other
Enumeration date
04/10/2011
Last updated
10/11/2024
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