Individual
RENNESHA MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 BAUER AVE, ROOSEVELT, NY 11575-1518
(347) 277-1710
Mailing address
497 ROCKAWAY AVE, VALLEY STREAM, NY 11581-1909
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
817282
NY
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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