Individual
MRS. ADELE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 PRIMROSE AVE, MOUNT VERNON, NY 10552-3022
(914) 699-3888
Mailing address
20 PRIMROSE AVE, MOUNT VERNON, NY 10552-3022
(914) 699-3888
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
219870
NY
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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