MAURICE ALIDZA

BRONX, NY
NPI1194147009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  317236)
Enumeration Date2014-01-11
Last Update Date2014-01-11
Business Address
MAURICE ALIDZA
2390 TIEBOUT AVE 6-D
BRONX, NY 10458-7305
Phone number: 347-659-8837
Mailing Address
MAURICE ALIDZA
2390 TIEBOUT AVE 6-D
BRONX, NY 10458-7305
Phone number: 347-659-8837
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