BRAULIO FERNANDO GUALLPA

PEEKSKILL, NY
NPI1336534114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  321073)
Enumeration Date2015-03-30
Last Update Date2015-03-30
Business Address
BRAULIO FERNANDO GUALLPA LPN
674 MAIN ST FL. 2
PEEKSKILL, NY 10566-2013
Phone number: 914-930-9313
Mailing Address
BRAULIO FERNANDO GUALLPA LPN
674 MAIN ST FL. 2
PEEKSKILL, NY 10566-2013
Phone number: 914-930-9313