Individual
TEMA NYA REGIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 WELLESLEY ST STE 1, WESTON, MA 02493-1571
(917) 628-1404
Mailing address
25 KENILWORTH PL, BROOKLYN, NY 11210-2327
(917) 628-1404
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
740033
NY
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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