Individual
BEVERLY M. HARDING-FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
332 NORTH TERRACE AVE, MOUNT VERNON, NY 10550
(914) 667-6138
(914) 667-6138
Mailing address
332 NORTH TERRACE AVE, MOUNT VERNON, NY 10550
(914) 667-6138
(914) 667-6138
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
295040-1
NY
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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