Individual
AILEEN PRUNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
32 MIDWAY DR, MONROE, NY 10950-1128
(845) 774-5750
Mailing address
32 MIDWAY DR, MONROE, NY 10950-1128
(845) 774-5750
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302605
NY
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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