Individual
DARLINE THEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 GRAFTON ST, BROOKLYN, NY 11212-4022
(347) 252-7784
Mailing address
208 GRAFTON ST, BROOKLYN, NY 11212-4022
(347) 252-7784
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338808
NY
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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