Kwan Southerland, LPN
NPI #1871991117 in Fresh Meadows, New York
Provider Information
- NPI Number
- 1871991117
- Entity Type
- Individual
- Name
- Kwan Southerland, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Credential
- LPN
- Enumeration Date
- Dec 19, 2014
- Last Updated
- Dec 19, 2014
Practice Location
- Address
- 67-02B 186TH LANE
- City
- Fresh Meadows
- State
- New York
- ZIP Code
- 11365
- Phone
- (347) 712-7965
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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