Individual
MISS CLAUDINE M MARDONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
361 RONKONKOMA AVE APT C, RONKONKOMA, NY 11779-5369
(631) 672-4822
Mailing address
361 RONKONKOMA AVE APT C, RONKONKOMA, NY 11779-5369
(631) 672-4822
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
339082
NY
Other
Enumeration date
06/11/2021
Last updated
06/15/2021
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