Pantry, Shaquetta A

Pantry, Shaquetta A is an individual health care provider with primary practice located at 12511 149Th Ave , South Ozone Park NY 11420-3717. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Pantry, Shaquetta A can be contacted via phone (631) 379-6041.

Contact Information

Primary practice address
12511 149Th Ave South Ozone Park NY 11420-3717
Phone: (631) 379-6041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 339939 New York

Profile Details

NPI number 1083458145
LBN Legal business name Pantry, Shaquetta A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2024
Last updated Jun 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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