Individual
MRS. LOVERNE MARCIA WEDDERBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 BROWER BLVD, HYDE PARK, NY 12538-1612
(845) 489-3643
Mailing address
6 BROWER BLVD, HYDE PARK, NY 12538-1612
(845) 489-3643
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
5888861
NY
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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