MS. Marissa Lynn Diemidio, LPN

NPI #1700397486 in Bohemia, New York

Provider Information

NPI Number
1700397486
Entity Type
Individual
Name
MS. Marissa Lynn Diemidio, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Oct 20, 2017
Last Updated
Oct 20, 2017

Practice Location

Address
1574 LOUIS KOSSUTH AVE
ZIP Code
11716-1512
Phone
(631) 241-7594

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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