LISSA HERIVEAUX

BROOKLYN, NY
NPI1164917977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  330844)
Enumeration Date2018-06-25
Last Update Date2018-06-25
Business Address
LISSA HERIVEAUX
6321 NEW UTRECHT AVE
BROOKLYN, NY 11219-5425
Phone number: 212-687-7464
Mailing Address
LISSA HERIVEAUX
6321 NEW UTRECHT AVE
BROOKLYN, NY 11219-5425
Phone number: 212-687-7464
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