KELLIE LYNN WIACKLEY

STATEN ISLAND, NY
NPI1134984974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  884578)
Enumeration Date2024-02-20
Last Update Date2024-02-20
Business Address
KELLIE LYNN WIACKLEY RN
275 CASELTON AVE
STATEN ISLAND, NY 10301
Phone number: 347-539-3670
Mailing Address
KELLIE LYNN WIACKLEY RN
141 PELTON AVE
STATEN ISLAND, NY 10310-1543
Phone number: 347-539-3670
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