Individual
MRS. BRENDA ANGELINE DEMELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3465 192ND ST, FLUSHING, NY 11358-1926
(718) 886-3456
Mailing address
4118 243RD ST, DOUGLASTON, NY 11363-1658
(718) 225-1867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
293375-1
NY
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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