Jonathan Desplantes LPN

NPI 1053655175 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1053655175
Gender Male
Enumeration Date 11/15/2012
Last Updated 11/15/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1330 E 103RD ST
BROOKLYN NY, 11236-4504, US
Phone (347) 301-8407
Fax
Business Location
1330 E 103RD ST
BROOKLYN NY, 11236-4504, US
Phone (347) 301-8407
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 311810
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According to our database, Mr. Jonathan Desplantes LPN NPI is 1053655175, taxonomy code is 164W00000X and license number is 311810, license state is located at New York. Jonathan Desplantes LPN physically located at 1330 E 103rd St, Brooklyn NY, 11236-4504. NPI Number Jonathan Desplantes LPN has the Individual type.

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1053655175 NPI number is provided on an as is basis without warranty of any kind. 1053655175 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Desplantes LPN are for informational purposes only.