Individual
MRS. CARLINE ST JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3201 AVENUE J, BROOKLYN, NY 11210-4115
(917) 860-9536
Mailing address
3201 AVENUE J, BROOKLYN, NY 11210-4115
(917) 860-9536
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300098-1
NY
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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