Individual
CARLENE JUNE SIMMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
34 WINDING LN, ISLANDIA, NY 11749-6145
(631) 273-3049
Mailing address
34 WINDING LN, ISLANDIA, NY 11749-6145
(631) 273-3049
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
2686621
NY
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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