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Individual

PRUDENCIA GUILLAUME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
835 NESCONSET HWY APT B5, NESCONSET, NY 11767-2242

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
728232-01
NY
251J00000X
Nursing Care Agency
316339-1
NY

Other

Enumeration date
07/15/2014
Last updated
08/24/2021
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