Provider First Line Business Practice Location Address:
14 BELLEMEADE AVE
Provider Second Line Business Practice Location Address:
CHRISTIAN NURSING REGISTRY
Provider Business Practice Location Address City Name:
SMITHTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11787
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-265-5300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/30/2007