Individual
ALEITHEA GRACE VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
.L.P.N.
Contact information
Practice address
435 WEBSTER AVE, PH6, NEW ROCHELLE, NY 10801-3238
(561) 281-2315
Mailing address
435 WEBSTER AVE, PH6, NEW ROCHELLE, NY 10801-3238
(561) 281-2315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
127704
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01657010
—
NY
Enumeration date
10/15/2007
Last updated
12/31/2007
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