Individual
CLIFTON DOUYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25526 MEMPHIS AVE, ROSEDALE, NY 11422-2552
(786) 280-9177
Mailing address
25526 MEMPHIS AVE, ROSEDALE, NY 11422-2552
(786) 280-9177
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307105-1
NY
164W00000X
Licensed Practical Nurse
PN5188454
FL
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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