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Individual

MISS ENA LOUISE GAINEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
236 E 28TH ST, APT 2E, BROOKLYN, NY 11226-6375
(347) 209-5841
Mailing address
236 E 28TH ST, APT 2E, BROOKLYN, NY 11226-6375
(347) 209-5841

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
215995
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045170
BOARD OF NURSING
NC
Enumeration date
10/03/2012
Last updated
10/04/2012
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