Cardene Crestel Wallace

NPI 1174792782 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1174792782
Gender Female
Enumeration Date 02/27/2008
Last Updated 03/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
106 WINTHROP AVE
NEW ROCHELLE NY, 10801-3313, US
Phone (914) 433-5331
Fax
Business Location
106 WINTHROP AVE
NEW ROCHELLE NY, 10801-3313, US
Phone (914) 433-5331
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 169322-1
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According to our database, Cardene Crestel Wallace NPI is 1174792782, taxonomy code is 164W00000X and license number is 169322-1, license state is located at New York. Cardene Crestel Wallace physically located at 106 Winthrop Ave, New Rochelle NY, 10801-3313. NPI Number Cardene Crestel Wallace has the Individual type.

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1174792782 NPI number is provided on an as is basis without warranty of any kind. 1174792782 is maintained by the National Plan & Provider Enumeration System. The contents of Cardene Crestel Wallace are for informational purposes only.