Gertrude J Jennie Fortune

NPI #1538567854 in Rosedale, New York

Provider Information

NPI Number
1538567854
Entity Type
Individual
Name
Gertrude J Jennie Fortune
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 18, 2014
Last Updated
Dec 18, 2014

Practice Location

Address
13730 242ND ST
Address 2
ROSEDALE NY
ZIP Code
11422-1719
Phone
(917) 744-7264

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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