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Individual

MONIQUE DAUTRUCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
269 PRINCE AVE, FREEPORT, NY 11520-1029
(917) 685-2316
Mailing address
269 PRINCE AVE, FREEPORT, NY 11520-1029
(917) 685-2316

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
454230-01
NY

Other

Enumeration date
02/12/2022
Last updated
02/12/2022
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