Individual
CARINE DESROULEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11836 NASHVILLE BLVD, CAMBRIA HEIGHTS, NY 11411-1920
(917) 335-3458
(917) 335-3458
Mailing address
11836 NASHVILLE BLVD, CAMBRIA HEIGHTS, NY 11411-1920
(718) 776-2422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
635279-1
NY
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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