Individual
MS. ROLANDE FANORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1356 E 85TH ST, BROOKLYN, NY 11236-5106
(347) 353-5265
Mailing address
1356 E 85TH ST, BROOKLYN, NY 11236-5106
(347) 353-5265
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
311578
NY
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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