PEARL VIDALE

Licensed Practical Nurse

Active Individual
NPI: 1366769416

Practice Address

8825 163RD ST
Jamaica, NY 11432

Phone: (718) 739-0045

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 249723 (NY)

Frequently Asked Questions

NPI 1366769416 is the National Provider Identifier for PEARL VIDALE, a Licensed Practical Nurse provider located in Jamaica, NY. This NPI was enumerated on April 29, 2010.
PEARL VIDALE practices at 8825 163RD ST, Jamaica, NY 11432.

Quick Facts

NPI
1366769416
Type
Individual
Enumerated
Apr 29, 2010
Last Updated
Apr 29, 2010

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