MODUPE TIJANI

STATEN ISLAND, NY
NPI1093189029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  300406-1)
Enumeration Date2015-11-13
Last Update Date2015-11-13
Business Address
-- MODUPE TIJANI
345 VAN NAME AVE
STATEN ISLAND, NY 10303-2526
Phone number: 718-815-0906
Mailing Address
-- MODUPE TIJANI
345 VAN NAME AVE
STATEN ISLAND, NY 10303-2526
Phone number: 718-815-0906
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