JAVONDA ENITRA MACKINS

SYRACUSE, NY
NPI1215767736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  341331)
Enumeration Date2024-08-07
Last Update Date2024-08-07
Business Address
JAVONDA ENITRA MACKINS
620 MADISON ST
SYRACUSE, NY 13210-2319
Phone number: 315-426-3985
Mailing Address
JAVONDA ENITRA MACKINS
1147 PARK AVE
UTICA, NY 13501-3810
Phone number: 732-215-8727
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