Pretina Maddox

NPI #1790032258 in Arverne, New York

Provider Information

NPI Number
1790032258
Entity Type
Individual
Name
Pretina Maddox
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Aug 14, 2012
Last Updated
Aug 14, 2012

Practice Location

Address
5610 BEACH CHANNEL DR
Address 2
APT 2C
ZIP Code
11692-1765
Phone
(347) 530-0251

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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