Individual
MS. KEYSHA LATANYA BONHEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2424
Mailing address
1617 REMSEN AVE FL 2, BROOKLYN, NY 11236-5213
(917) 622-7366
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
750480
NY
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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