| Mr Jonathan Desplantes, LPN | |
|
1330 E 103rd St, Brooklyn, NY 11236-4504 | |
| (347) 301-8407 | |
| Not Available |
| Full Name | Mr Jonathan Desplantes |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 1330 E 103rd St, Brooklyn, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053655175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 311810 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Desplantes, LPN 1330 E 103rd St, Brooklyn, NY 11236-4504 Ph: (347) 301-8407 | Mr Jonathan Desplantes, LPN 1330 E 103rd St, Brooklyn, NY 11236-4504 Ph: (347) 301-8407 |
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