WOLLETA BLACKWOOD

ELMONT, NY
NPI1356196752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  610154)
Enumeration Date2024-04-19
Last Update Date2024-04-21
Business Address
WOLLETA BLACKWOOD
1944 JACKSON AVE
ELMONT, NY 11003-4200
Phone number: 516-424-0169
Mailing Address
WOLLETA BLACKWOOD
1944 JACKSON AVE
ELMONT, NY 11003-4200
Phone number: