Individual
MRS. CAMMIE LYNN PASSINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9 NEWPORT BEACH BLVD, EAST MORICHES, NY 11940-1576
(631) 413-8588
Mailing address
9 NEWPORT BEACH BLVD, EAST MORICHES, NY 11940-1576
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294804
NY
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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