MS. Kelly Lynn Casanova, LPN

NPI #1669818100 in Mastic, New York

Provider Information

NPI Number
1669818100
Entity Type
Individual
Name
MS. Kelly Lynn Casanova, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
LPN
Enumeration Date
May 10, 2013
Last Updated
May 10, 2013

Practice Location

Address
3 OCEAN AVE
City
Mastic
ZIP Code
11950-4303
Phone
(631) 399-0322

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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