IFEYINWA EZISSI

LAURELTON, NY
NPI1104397561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  334151)
Enumeration Date2018-12-11
Last Update Date2018-12-11
Business Address
IFEYINWA EZISSI LPN
13735 219TH ST
LAURELTON, NY 11413-2244
Phone number: 347-494-3263
Mailing Address
IFEYINWA EZISSI LPN
13735 219TH ST
LAURELTON, NY 11413-2244
Phone number: 347-494-3263
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