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Individual

ANNE BERTHA RAYMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
507 KIRKBY RD, ELMONT, NY 11003-3523
(516) 437-9350
(516) 414-3573
Mailing address
124 PATTERSON AVE, HEMPSTEAD, NY 11550-6537
(516) 414-3573
(516) 414-3573

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
089692-1
NY

Other

Enumeration date
05/05/2009
Last updated
05/05/2009
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