MIJA HA

BAYSIDE, NY
NPI1194452755
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F310736)
Enumeration Date2022-08-04
Last Update Date2022-08-04
Business Address
MIJA HA
21763 77TH AVE
BAYSIDE, NY 11364-3024
Phone number: 917-588-6962
Mailing Address
MIJA HA
21763 77TH AVE
BAYSIDE, NY 11364-3024
Phone number: 917-588-6962