Individual
MISS TRICELY FINELA FORDYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
15502 108TH AVE, JAMAICA, NY 11433-1914
(718) 739-4463
Mailing address
15502 108TH AVE, JAMAICA, NY 11433-1914
(718) 739-4463
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
551524-1
NY
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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