Individual
MISS ADONNA RAE KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
811 ROOSA GAP ROAD, BLOOMINGBURG, NY 12721
(303) 947-8027
Mailing address
811 ROOSA GAP ROAD, BLOOMINGBURG, NY 12721
(303) 947-8027
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
273664
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02830519
—
NY
Enumeration date
04/17/2007
Last updated
07/08/2007
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