Individual
CYMANDA MONIQUE DUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5264 MAIN ST, BOX 842, SOUTH FALLSBURG, NY 12779
(845) 434-4573
Mailing address
PO BOX 842, 5264 MAIN ST, SOUTH FALLSBURG, NY 12779
(845) 434-4573
(845) 434-4573
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
299459
NY
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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