WAGNER GUERVIL

QUEENS VILLAGE, NY
NPI1003114422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  291603)
Enumeration Date2011-03-09
Last Update Date2011-03-09
Business Address
-- WAGNER GUERVIL LPN
22121 JAMAICA AVE 2 FLOOR
QUEENS VILLAGE, NY 11428-2015
Phone number: 718-468-6923
Mailing Address
-- WAGNER GUERVIL LPN
22121 JAMAICA AVE 2 FLOOR
QUEENS VILLAGE, NY 11428-2015
Phone number: 718-468-6923
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