Individual
CHANEL CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4304 CHERRY HILL DR, POUGHKEEPSIE, NY 12603-1777
(845) 505-1610
Mailing address
4304 CHERRY HILL DR, POUGHKEEPSIE, NY 12603-1777
(845) 505-1610
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312419
NY
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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