Individual
MS. MARCIA SEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9715 64TH RD, REGO PARK, NY 11374-2250
(718) 459-5592
Mailing address
11118 174TH ST, JAMAICA, NY 11433-4009
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
267383
NY
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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