EDEM KOUTODZO

BRONX, NY
NPI1346700515
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  334293-1)
Enumeration Date2019-03-22
Last Update Date2019-03-22
Business Address
EDEM KOUTODZO LPN
728 E 233RD ST
BRONX, NY 10466-3202
Phone number: 347-899-8620
Mailing Address
EDEM KOUTODZO LPN
728 E 233RD ST
BRONX, NY 10466-3202
Phone number: 347-899-8620
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