Individual
MRS. ANNE CYNTHIA MERVEILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
95 PINE ST, PORT JEFFERSON STATION, NY 11776-3146
(646) 409-7039
Mailing address
95 PINE ST, PORT JEFFERSON STATION, NY 11776-3146
(646) 409-7039
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330354
NY
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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