Individual
DATSHEDA MORDAUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MONTROSE AVE APT 13A, BROOKLYN, NY 11206-1942
(718) 820-6917
Mailing address
30 MONTROSE AVE APT 13A, BROOKLYN, NY 11206-1942
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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