Individual
MS. 1THERESA SANDRA ROMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
28 WOODCREST LN, MILTON, NY 12547-5415
(914) 388-9593
Mailing address
28 WOODCREST LN, C/O P.O. BOX 415, MILTON, NY 12547-5415
(914) 388-9593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
442008-1
NY
164W00000X
Licensed Practical Nurse
194818-1
NY
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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