Individual
CHAWNA N DEFREESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
18 CHESTNUT AVE, HILLBURN, NY 10931-0363
(845) 729-4141
Mailing address
18 CHESTNUT AVE, HILLBURN, NY 10931-0363
(845) 729-4141
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NP05873600
NJ
164W00000X
Licensed Practical Nurse
Primary
281076-1
NY
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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