Individual
CHANTE SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6424 18TH AVE, BROOKLYN, NY 11204-3729
(212) 687-7464
Mailing address
25 DEPPE PL APT 3B, STATEN ISLAND, NY 10314-1535
(347) 453-6505
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310842-01
NY
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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