Individual
MS. BRENDA RUTH GUILBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
83 MAIDEN LN, NEW YORK, NY 10038-4812
(212) 780-2708
Mailing address
83 MAIDEN LN, NEW YORK, NY 10038-4812
(212) 780-2708
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
192630
NY
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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