MRS. Roshawnna Bazemore

NPI #1952684441 in Mastic, New York

Provider Information

NPI Number
1952684441
Entity Type
Individual
Name
MRS. Roshawnna Bazemore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Sep 21, 2011
Last Updated
Sep 21, 2011

Practice Location

Address
84 FULTON AVE
City
Mastic
ZIP Code
11950-2211
Phone
(631) 772-7230

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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