Kimberly Theodore

NPI #1033660519 in Newburgh, New York

Provider Information

NPI Number
1033660519
Entity Type
Individual
Name
Kimberly Theodore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Oct 19, 2016
Last Updated
Oct 19, 2016

Practice Location

Address
36 NOB CIR
ZIP Code
12550-1247
Phone
(845) 784-8024

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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