Individual
CAMILLE ELIZABETH CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
158 SOUTH 2ND AVE, APT 3G, MOUNT VERNON, NY 10550
(914) 207-4508
Mailing address
158 S 2ND AVE, APT 3G, MOUNT VERNON, NY 10550-3515
(914) 207-4508
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317076-1
NY
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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