Sole proprietors and sole proprietorships are Entity Type 1 Individual providers.
Provider Business Mailing Address Details: Address 23 Ann Rd, City Mastic Beach State New York Zip 11951-2517 Phone Number 631-875-7882 Fax Number -- Provider Business Practice Location Address Details: Address 23 Ann Rd, City Mastic Beach State New York Zip 11951-2517 Phone Number 631-875-7882 Fax Number -- Provider's Primary Taxonomy Details: Type Nursing Service Providers Speciality Licensed Practical Nurse Taxonomy 164W00000X Licence No.
Laronda Renee Butts through mail at her mailing address at 23 Ann Rd, , Mastic Beach, New York - 11951-2517 mailing address contact number - 631-875-7882.
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