MRS. Marie-Jeanne Gradja Lariveau-Lagredelle

NPI #1285983296 in Elmont, New York

Provider Information

NPI Number: 1285983296
Entity Type: Individual
Name: MRS. Marie-Jeanne Gradja Lariveau-Lagredelle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Sep 5, 2012
Last Updated: Sep 5, 2012

Practice Location

Address: 11555 PARKWAY DR
City: Elmont
State: New York
ZIP Code: 11003-3934
Phone: (516) 782-3639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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