HERUTE-AMLAK EXTAVOUR

STATEN ISLAND, NY
NPI1215318498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  315213)
Enumeration Date2015-06-14
Last Update Date2015-06-14
Business Address
-- HERUTE-AMLAK EXTAVOUR LPN
350 VANDERBILT AVE APT 6D
STATEN ISLAND, NY 10304-3537
Phone number: 347-797-8726
Mailing Address
-- HERUTE-AMLAK EXTAVOUR LPN
350 VANDERBILT AVE APT 6D
STATEN ISLAND, NY 10304-3537
Phone number: 347-797-8726
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