MS. Evelissa Emmanuelle Ducatel, LPN
NPI #1033685649 in Queens Village, New York
Provider Information
- NPI Number
- 1033685649
- Entity Type
- Individual
- Name
- MS. Evelissa Emmanuelle Ducatel, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 22, 2018
- Last Updated
- Oct 22, 2018
Practice Location
- Address
- 22121 JAMAICA AVE
- City
- Queens Village
- State
- New York
- ZIP Code
- 11428-2015
- Phone
- (714) 468-6923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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