DAPHNEY BOURJOLLY

CENTRAL ISLIP, NY
NPI1235433160
Former NameDAPHNEY BOURJOLLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  304080)
Enumeration Date2011-01-06
Last Update Date2011-01-06
Business Address
-- DAPHNEY BOURJOLLY Daphney Bourjolly
125 HAWTHORNE AVE 346
CENTRAL ISLIP, NY 11722-1367
Phone number: 631-327-6969
Mailing Address
-- DAPHNEY BOURJOLLY Daphney Bourjolly
125 HAWTHORNE AVE 346
CENTRAL ISLIP, NY 11722-1367
Phone number: 631-327-6969