Individual
DACIA VANVEEN-PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3422 AVENUE I, BROOKLYN, NY 11210-4124
(718) 468-6923
Mailing address
3422 AVENUE I, BROOKLYN, NY 11210-4124
(718) 468-6923
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311194
NY
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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