Individual
CLEMENCE BAPTSITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 EALING CT, BRENTWOOD, NY 11717-5621
(631) 398-0444
(631) 617-6219
Mailing address
119 EALING COURT, BRENTWOOD, NY 11717
(631) 398-0444
(631) 617-6219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1991481
NY
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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