Individual
CHANTALE SOUFFRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1665 TILLOTSON AVE, BRONX, NY 10469-2746
(718) 671-2100
Mailing address
1665 TILLOTSON AVE, BRONX, NY 10469-2746
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
633438
NY
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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