KEISHA MONIQUE STANFORD

JAMAICA, NY
NPI1346514346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  303761)
Enumeration Date2012-03-08
Last Update Date2012-03-08
Business Address
-- KEISHA MONIQUE STANFORD LPN
10852 176TH ST
JAMAICA, NY 11433-2610
Phone number: 516-884-0005
Mailing Address
-- KEISHA MONIQUE STANFORD LPN
10852 176TH ST
JAMAICA, NY 11433-2610
Phone number: 516-884-0005