Nicole Fortin

NPI #1245585488 in Holtsville, New York

Provider Information

NPI Number
1245585488
Entity Type
Individual
Name
Nicole Fortin
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jul 13, 2012
Last Updated
Jul 13, 2012

Practice Location

Address
16 VAUTRIN AVE
ZIP Code
11742-1624
Phone
(631) 879-1018

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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