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Rose Gautier

Licensed Practical Nurse in Jamaica, NY. Individual provider (NPI-1).

NPI number1871376830
StatusActive
Last updated in NPPESAug 15, 2023

Details

NPI
1871376830
Entity type
Individual (NPI-1)
Name
Rose Gautier
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 15, 2023
Certification date
Aug 15, 2023
Last updated
Aug 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse34764601NYYes

Practice location

13337 147th St
Jamaica, NY 11436-2314

Phone 917-536-4354

Mailing address

13337 147th St
Jamaica, NY 11436-2314

Phone 917-536-4354

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