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NPI Profile for LOURDES A JEAN in FAR ROCKAWAY, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X |
| NPI # | 1770150526 |
|
| Status | Active | |
| Credentials | REGISTERED NURSE | |
| Entity | Individual | |
| Enumeration date | 06/09/2021 | |
| Last updated | 06/09/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LOURDES A JEAN
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LOURDES A JEAN, REGISTERED NURSE