OTHNIEL HOUSTON

BAYONNE, NJ
NPI1205504701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  298695)
Enumeration Date2021-08-31
Last Update Date2021-08-31
Business Address
OTHNIEL HOUSTON
36 W 19TH ST
BAYONNE, NJ 07002-3610
Phone number: 347-930-5681
Mailing Address
OTHNIEL HOUSTON
36 W 19TH ST
BAYONNE, NJ 07002-3610
Phone number:
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