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Individual

KARLA DESIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12610 109TH AVE, SOUTH OZONE PARK, NY 11420-1525
(718) 843-1770
Mailing address
12610 109TH AVE, SOUTH OZONE PARK, NY 11420-1525
(718) 843-1770

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
477666-1
NY

Other

Enumeration date
03/13/2012
Last updated
03/13/2012
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