DEJA MALCOLM

NEWBURGH, NY
NPI1336699420
Former NameDEJA EDWARDS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  326426-1)
Enumeration Date2016-10-12
Last Update Date2016-10-12
Business Address
Mrs. DEJA MALCOLM LPN
1772 ROUTE 300 APT 4
NEWBURGH, NY 12550-8930
Phone number: 845-500-2609
Mailing Address
Mrs. DEJA MALCOLM LPN
1772 ROUTE 300 APT 4
NEWBURGH, NY 12550-8930
Phone number: 845-500-2609
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