Individual
CLAUDETTE MAY GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21923 MURDOCK AVE, QUEENS VILLAGE, NY 11429-2627
(718) 450-0612
Mailing address
21923 MURDOCK AVE, QUEENS VILLAGE, NY 11429-2627
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
228322
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228322
—
NY
Enumeration date
01/10/2020
Last updated
01/10/2020
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