Individual
CLAUDETTE CECELIA GOBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED NURSE
Contact information
Practice address
749 E 231ST ST, APT 6E, BRONX, NY 10466-4148
(718) 653-1215
Mailing address
749 E 231ST ST, APT 6E, BRONX, NY 10466-4148
(718) 653-1215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2576631
NY
Other
Enumeration date
03/10/2013
Last updated
03/10/2013
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