VICTOR MARI JATA

BRONX, NY
NPI1104064955
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  293982-1)
Enumeration Date2009-02-02
Last Update Date2009-02-02
Business Address
-- VICTOR MARI JATA
960 SHERIDAN AVE 5D
BRONX, NY 10456-6301
Phone number: 917-349-5856
Mailing Address
-- VICTOR MARI JATA
960 SHERIDAN AVE 5D
BRONX, NY 10456-6301
Phone number: 917-349-5856
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