Individual
MS. SANDRA A MALLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
80 MAPLE PKWY, STATEN ISLAND, NY 10303-2419
(718) 720-7993
Mailing address
24 JAMIE CT, STATEN ISLAND, NY 10314-7425
(718) 982-7691
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
499320
NY
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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