Individual
MS. LURADINE TIMBERLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7250 GRAND AVE RM 231, MASPETH, NY 11378-1533
(718) 533-6567
(718) 478-7538
Mailing address
7250 GRAND AVE RM 231, MASPETH, NY 11378-1533
(718) 533-6567
(718) 478-7538
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
242553-1
NY
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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