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Frandia Blaise

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

NPI number1972250256
StatusActive
Last updated in NPPESMar 7, 2022

Details

NPI
1972250256
Entity type
Individual (NPI-1)
Name
Frandia Blaise
Sex
Female
Sole proprietor
No
Enumeration date
Mar 7, 2022
Certification date
Mar 3, 2022
Last updated
Mar 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse342741-01NYYes

Practice location

23 Ridge Ct
Hauppauge, NY 11788-4748

Phone 516-652-3899

Mailing address

23 Ridge Ct
Hauppauge, NY 11788-4748

Phone 516-652-3899

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