Individual
CHANTAL TEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8825 163RD ST, JAMAICA, NY 11432-4046
(718) 739-0045
Mailing address
21230 94TH AVE, QUEENS VILLAGE, NY 11428-1627
(718) 902-9243
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
288427
NY
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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