JUDE RAPHAEL VILLALUZ FACURA

STATEN ISLAND, NY
NPI1063927267
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  329492)
Enumeration Date2017-12-11
Last Update Date2021-06-29
Business Address
JUDE RAPHAEL VILLALUZ FACURA LPN
23 ARIELLE LN
STATEN ISLAND, NY 10314-7508
Phone number: 914-837-5052
Mailing Address
JUDE RAPHAEL VILLALUZ FACURA LPN
23 ARIELLE LN
STATEN ISLAND, NY 10314-7508
Phone number: 914-837-5052
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