LISA JO VASILUTH

COMMACK, NY
NPI1285999706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2012-07-10
Last Update Date2022-07-21
Business Address
Mrs. LISA JO VASILUTH MSED
31 ROXBURY DR
COMMACK, NY 11725-1324
Phone number: 631-827-1552
Mailing Address
Mrs. LISA JO VASILUTH MSED
31 ROXBURY DR
COMMACK, NY 11725-1324
Phone number: 631-827-1552