Individual
LI SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33 PONDHILLS CT, PLEASANT VALLEY, NY 12569-5135
(845) 242-7203
Mailing address
33 PONDHILLS CT, PLEASANT VALLEY, NY 12569-5135
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
548285-1
NY
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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