JULISSA ABIGAIL VILLALTA MARTINEZ

BRENTWOOD, NY
NPI1285402933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  349090-01)
Enumeration Date2023-12-12
Last Update Date2023-12-12
Business Address
JULISSA ABIGAIL VILLALTA MARTINEZ
5 CLARKE ST
BRENTWOOD, NY 11717-2001
Phone number: 631-575-9450
Mailing Address
JULISSA ABIGAIL VILLALTA MARTINEZ
5 CLARKE ST
BRENTWOOD, NY 11717-2001
Phone number: 631-575-9450
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