Kendra Terrell Footman, LPN
NPI #1750683595 in Central Islip, New York
Provider Information
- NPI Number
- 1750683595
- Entity Type
- Individual
- Name
- Kendra Terrell Footman, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Nov 30, 2010
- Last Updated
- Nov 30, 2010
Practice Location
- Address
- 150 BRIER ST
- City
- Central Islip
- State
- New York
- ZIP Code
- 11722-3939
- Phone
- (631) 960-1978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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