Individual
CHEVONNE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
961 EASTERN PKWY APT B1, BROOKLYN, NY 11213-4604
(347) 515-9871
Mailing address
961 EASTERN PKWY APT B1, BROOKLYN, NY 11213-4604
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308099
NY
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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