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SHERVONE THEOPHILUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
85 BARTLETT ST, BROOKLYN, NY 11206-4429
(718) 782-1538
Mailing address
33 ROOSEVELT DR APT 319, DERBY, CT 06418-1670
(321) 439-8426

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
671217
NY

Other

Enumeration date
11/12/2013
Last updated
11/12/2013
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