LISA DESOUSA

SHIRLEY, NY
NPI1336921279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  341877-01)
Enumeration Date2023-10-16
Last Update Date2023-10-16
Business Address
LISA DESOUSA LPN
451 REVILO AVE
SHIRLEY, NY 11967-1543
Phone number: 631-742-2053
Mailing Address
LISA DESOUSA LPN
451 REVILO AVE
SHIRLEY, NY 11967-1543
Phone number:
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