Individual
CHERYL LYDIA JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 SMITH ST, 109B, BROOKLYN, NY 11231-4604
(718) 330-9322
(718) 596-2969
Mailing address
330 SMITH STREET, 109B, BROOKLYN, NY 11234
(718) 330-9322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
569308-1
NY
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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