Individual
DAVID JEAN-LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
104 CLEVELAND ST, ORANGE, NJ 07050-2710
(718) 671-2100
Mailing address
104 CLEVELAND ST, ORANGE, NJ 07050-2710
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300909
NY
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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