Individual
CARMENE EXAVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 FLEETWOOD PL, APT.24, IRVINGTON, NJ 07111-1068
(862) 215-6068
Mailing address
25 FLEETWOOD PL, APT.24, IRVINGTON, NJ 07111-1068
(862) 215-6068
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305221
NY
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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