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MISS MARIE WIZLIE AMBROISE LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1255712212

Individual Registrant:
MISS MARIE WIZLIE AMBROISE LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
133-16 232ND ST  LAURELTON, NY 11413 US
Tel: 347-635-0819  Fax: --

Contact information for business:
133-16 232ND ST  LAURELTON, NY 11413 US
Tel: 347-635-0819  Fax: --

Registration Information:
NPI: 1255712212
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
NY321986-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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