Individual
CARLA VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24003 135TH AVE, ROSEDALE, NY 11422-1510
(347) 965-9575
Mailing address
24003 135TH AVE, ROSEDALE, NY 11422-1510
(347) 965-9575
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320627
NY
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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