Individual
DONNA MARIE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 TIPTON DR W, SHIRLEY, NY 11967-3506
(631) 834-9933
(631) 772-6179
Mailing address
17 TIPTON DR W, SHIRLEY, NY 11967-3506
(631) 834-9933
(631) 772-6179
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
2604861
NY
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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