Leide Etienne
NPI #1659736106 in Glen Ridge, New Jersey
Provider Information
- NPI Number
- 1659736106
- Entity Type
- Individual
- Name
- Leide Etienne
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Dec 29, 2015
- Last Updated
- Dec 29, 2015
Practice Location
- Address
- 174 BAY AVE
- City
- Glen Ridge
- State
- New Jersey
- ZIP Code
- 07028-2404
- Phone
- (862) 218-8625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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