Ashanti Trent, | |
48 Forte Ave, Medford, NY 11763-4431 | |
(631) 205-3628 | |
Not Available |
Full Name | Ashanti Trent |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 48 Forte Ave, Medford, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942082870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 348704 (New York) | Primary |
Mailing Address | Practice Location Address |
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Ashanti Trent, 48 Forte Ave, Medford, NY 11763-4431 Ph: () - | Ashanti Trent, 48 Forte Ave, Medford, NY 11763-4431 Ph: (631) 205-3628 |
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