Individual
CHILOVE DORVILUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 OLD NYACK TPKE, SPRING VALLEY, NY 10977-5632
(845) 671-9794
Mailing address
315 OLD NYACK TPKE, SPRING VALLEY, NY 10977-5632
(845) 671-9794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
776395
NY
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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