Individual
DIANE LOGAN-MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17232 133RD AVE APT 1A, JAMAICA, NY 11434-3931
(917) 539-5942
(718) 525-6461
Mailing address
17232 133RD AVE APT 1A, JAMAICA, NY 11434-3931
(917) 539-5942
(718) 525-6461
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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