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Individual

MRS. COMFORT CAINE MATHELIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
9 SUMMIT AVE, APT 206N, SPRING VALLEY, NY 10977-5384
(845) 352-0931
Mailing address
9 SUMMIT AVE, APT 206N, SPRING VALLEY, NY 10977-5384
(845) 352-0931

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
264056
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264056
LICENSED PRACTICAL NURSE
NY
Enumeration date
01/22/2010
Last updated
01/22/2010
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