Individual
MRS. BERIA LAUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 DIVISION AVE, SPRING VALLEY, NY 10977-5845
(845) 893-7070
Mailing address
70 DIVISION AVE, SPRING VALLEY, NY 10977-5845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
575744-1
NY
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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