Individual
DELORES TAWANA ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 6TH AVE APT B, HUNTINGTON STATION, NY 11746-2205
(631) 514-9037
Mailing address
17 6TH AVE APT B, HUNTINGTON STATION, NY 11746-2205
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
000406583E
NY
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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