Individual
CAMELLE DAVERMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 VIOLA RD APT 35, SPRING VALLEY, NY 10977-2030
(845) 746-8492
Mailing address
440 VIOLA RD APT 35, SPRING VALLEY, NY 10977-2030
(845) 746-8492
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311377
NY
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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