LIAM JAMAL PHILLIP

STATEN ISLAND, NY
NPI1386382851
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  324063)
Enumeration Date2022-05-24
Last Update Date2022-05-24
Business Address
LIAM JAMAL PHILLIP LPN
76 LAUREL AVE
STATEN ISLAND, NY 10304-1931
Phone number: 580-919-9938
Mailing Address
LIAM JAMAL PHILLIP LPN
76 LAUREL AVE
STATEN ISLAND, NY 10304-1931
Phone number: 580-919-9938