MS. Pauline Veronica Illidge

NPI #1346492378 in Laurelton, New York

Provider Information

NPI Number
1346492378
Entity Type
Individual
Name
MS. Pauline Veronica Illidge
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Oct 22, 2008
Last Updated
Oct 22, 2008

Practice Location

Address
23218 MERRICK BLVD
ZIP Code
11413-2115
Phone
(718) 528-3432

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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