JEANETTE LAFERN IVY

BRONX, NY
NPI1225541113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  314235)
Enumeration Date2017-11-14
Last Update Date2017-11-14
Business Address
Miss JEANETTE LAFERN IVY LPN
1633 MELVILLE ST # 2
BRONX, NY 10460-2712
Phone number: 757-202-7408
Mailing Address
Miss JEANETTE LAFERN IVY LPN
1633 MELVILLE ST
BRONX, NY 10460-2712
Phone number: 757-020-7408