Individual
MRS. VIOLET BEVERLY HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
95 BRADHURST AVE, VALHALLA, NY 10595-1637
(914) 592-7555
Mailing address
10 FERDINAND PL, NEW ROCHELLE, NY 10801-2509
(914) 592-7555
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
384416-1
NY
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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