Individual
DEEDRIAN SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
13727 THURSTON ST, SPRINGFIELD GARDENS, NY 11413-2638
(646) 763-7343
Mailing address
13727 THURSTON ST, SPRINGFIELD GARDENS, NY 11413-2638
(646) 763-7343
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
342757481208E
NY
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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