Individual
MS. DANA DEENTREMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
24 WAYNE AVE, WEST HAVERSTRAW, NY 10993-1227
(845) 608-4826
Mailing address
24 WAYNE AVE, WEST HAVERSTRAW, NY 10993-1227
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
269851
NY
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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