Individual
WILDA DAMIS-CELINIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LUNNEY CT, SPRING VALLEY, NY 10977-6071
(845) 200-0534
Mailing address
1 LUNNEY CT APT 106, SPRING VALLEY, NY 10977-6060
(845) 200-0534
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
833868
NY
164W00000X
Licensed Practical Nurse
330956
NY
Other
Enumeration date
09/24/2019
Last updated
06/03/2024
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