KEISHA MAUTISH WYNN

SYRACUSE, NY
NPI1427351550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  298022)
Enumeration Date2010-12-11
Last Update Date2010-12-11
Business Address
Mrs. KEISHA MAUTISH WYNN
943 EUCLID AVE
SYRACUSE, NY 13210-2659
Phone number: 315-214-3091
Mailing Address
Mrs. KEISHA MAUTISH WYNN
943 EUCLID AVE
SYRACUSE, NY 13210-2659
Phone number: 315-214-3091
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