Geniese Theagene

NPI #1760232789 in Monroe, New York

Provider Information

NPI Number
1760232789
Entity Type
Individual
Name
Geniese Theagene
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 25, 2024
Last Updated
Mar 25, 2024

Practice Location

Address
80 BARR LN # 80
City
Monroe
ZIP Code
10950-4939
Phone
(845) 709-3672

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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