Individual
MRS. JOVITE FEQUIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.A
Contact information
Practice address
100 SOUTHERN BLVD, NESCONSET, NY 11767-1749
(631) 361-8800
Mailing address
110 S 29TH ST, WYANDANCH, NY 11798-2704
(631) 920-2652
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
341947800303E
NY
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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