Individual
BLONDELL SATCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 E 58TH ST, BROOKLYN, NY 11203-3713
(718) 566-9430
Mailing address
63 E 58TH ST, BROOKLYN, NY 11203-3713
(718) 566-9430
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300843
NY
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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