Ruthann Sonika Dejesus, LPN

NPI #1134471386 in Central Islip, New York

Provider Information

NPI Number
1134471386
Entity Type
Individual
Name
Ruthann Sonika Dejesus, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Oct 12, 2012
Last Updated
Oct 12, 2012

Practice Location

Address
1461 FERNDALE BLVD
ZIP Code
11722-2736
Phone
(631) 404-6512

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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