Individual
WILET LAMANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2834 ROUTE 17 M, NEW HAMPTON, NY 10958
(845) 374-8700
Mailing address
1265 US HIGHWAY 6 APT 1, PORT JERVIS, NY 12771-3517
(845) 551-4637
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
824947
NY
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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