Individual
NELIE EXALUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 SPRING VALLEY CMN, SPRING VALLEY, NY 10977-4286
(718) 781-8291
Mailing address
24 SPRING VALLEY CMN, SPRING VALLEY, NY 10977-4286
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
NY
Enumeration date
12/11/2019
Last updated
12/11/2019
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