JESSICA INTRAVAIA

SHIRLEY, NY
NPI1245665983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  292663-1)
Enumeration Date2013-09-12
Last Update Date2013-09-12
Business Address
-- JESSICA INTRAVAIA LPN
102 AUBORN AVE
SHIRLEY, NY 11967-1738
Phone number: 631-566-8338
Mailing Address
-- JESSICA INTRAVAIA LPN
102 AUBORN AVE
SHIRLEY, NY 11967-1738
Phone number: 631-566-8338
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