JELISA WILSON

BROOKLYN, NY
NPI1053972497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  334016)
Enumeration Date2019-06-26
Last Update Date2019-06-26
Business Address
JELISA WILSON
6321 NEW UTRECHT AVE
BROOKLYN, NY 11219-5425
Phone number: 212-687-7464
Mailing Address
JELISA WILSON
6321 NEW UTRECHT AVE
BROOKLYN, NY 11219-5425
Phone number: 212-687-7464
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