Individual
CHERYL WENTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1414 HUMMEL AVE, HOLBROOK, NY 11741-5732
(631) 672-2843
Mailing address
1414 HUMMEL AVE, HOLBROOK, NY 11741-5732
(631) 672-2843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
294906-1
NY
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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