Paige Ickes

NPI #1922462472 in Bohemia, New York

Provider Information

NPI Number
1922462472
Entity Type
Individual
Name
Paige Ickes
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 11, 2016
Last Updated
Apr 11, 2016

Practice Location

Address
932 POND RD
ZIP Code
11716-3521
Phone
(631) 605-4474

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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