Jade Gabrielle Degrauw

NPI #1588175434 in Shirley, New York

Provider Information

NPI Number
1588175434
Entity Type
Individual
Name
Jade Gabrielle Degrauw
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Oct 18, 2017
Last Updated
Oct 18, 2017

Practice Location

Address
52 CANDIDO AVE
ZIP Code
11967-1706
Phone
(631) 626-8222

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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