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Individual

JANINE NILSSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
35 MEMORIAL BLVD, EAST MORICHES, NY 11940-1438
(631) 878-3605
Mailing address
35 MEMORIAL BLVD, EAST MORICHES, NY 11940-1438
(631) 878-3605

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
342868-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
J9NURSE
NY
Enumeration date
07/25/2014
Last updated
07/25/2014
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