Individual
MRS. CAMILLE LISA DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
158 MALLOY DR, EAST QUOGUE, NY 11942-3836
(631) 594-1288
Mailing address
158 MALLOY DR, EAST QUOGUE, NY 11942-3836
(631) 594-1288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
575603
NY
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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