Individual
MARIE DESORMEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
30 20TH AVE, BAY SHORE, NY 11706-3135
(347) 633-0373
Mailing address
30 20TH AVE, BAY SHORE, NY 11706-3135
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
340141380293E
NY
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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