Individual
LINDA GAIL POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4 TRIANGLE PL, TUCKAHOE, NY 10707-3908
(843) 452-0566
Mailing address
4 TRIANGLE PL, TUCKAHOE, NY 10707-3908
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
762819-1
NY
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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