Individual
BEULAH WHIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22405 145TH RD, SPRINGFIELD GARDENS, NY 11413-3424
(718) 413-2317
Mailing address
22405 145TH RD, SPRINGFIELD GARDENS, NY 11413-3424
(718) 413-2317
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296027
NY
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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