Individual
MS. CORA A DEVEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9143 195STREET, APT # 2, HOLLIS, NY 11423
(646) 530-9159
Mailing address
9143 195TH ST, 2, HOLLIS, NY 11423-3501
(646) 530-9159
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
654890
NY
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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