Individual
MARY GRACE TESALONA OROZCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
379 MOONEY POND RD, SELDEN, NY 11784
(516) 658-3754
Mailing address
8 SCHOOLHOUSE WAY, DIX HILLS, NY 11746
(516) 499-4313
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
613402
NY
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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