KETLY ITACY

BROOKLYN, NY
NPI1063735579
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  299478)
Enumeration Date2010-03-11
Last Update Date2010-03-11
Business Address
-- KETLY ITACY
960 STERLING PL APT 2L
BROOKLYN, NY 11213-2523
Phone number: 646-201-3931
Mailing Address
-- KETLY ITACY
960 STERLING PL APT 2L
BROOKLYN, NY 11213-2523
Phone number: 646-201-3931
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