MELIA WIDAGDO-WUNTU

ELMHURST, NY
NPI1063898518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  687207-1)
Enumeration Date2015-08-07
Last Update Date2015-08-07
Business Address
-- MELIA WIDAGDO-WUNTU R.N.
4308 74TH ST APT 1
ELMHURST, NY 11373-2931
Phone number: 646-359-1462
Mailing Address
-- MELIA WIDAGDO-WUNTU R.N.
4308 74TH ST APT 1
ELMHURST, NY 11373-2931
Phone number: 646-359-1462
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