Individual
DANIELLE MATHURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8825 163RD ST, JAMAICA, NY 11432-4046
(718) 739-0045
Mailing address
13840 247TH ST, ROSEDALE, NY 11422-2227
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305631
NY
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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