Individual
CAMILLE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
664 E 95TH ST, BROOKLYN, NY 11236-1110
(917) 627-7977
Mailing address
664 E 95TH ST, BROOKLYN, NY 11236-1110
(917) 627-7977
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341068
NY
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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