Individual
KOUDEDJA DEMBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 LOCUST AVE APT 1H, NEW ROCHELLE, NY 10801-7331
(914) 740-3792
Mailing address
16 LOCUST AVE APT 1H, NEW ROCHELLE, NY 10801-7331
(914) 740-3792
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
F338512-1
NY
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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