Individual
THERESA CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHHA
Contact information
Practice address
2795 AMBOY RD, STATEN ISLAND, NY 10306-2157
(347) 200-4009
Mailing address
2795 AMBOY RD, STATEN ISLAND, NY 10306-2157
(347) 200-4009
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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