RON LICAS

WOODSIDE, NY
NPI1548010945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  662295)
Enumeration Date2024-03-26
Last Update Date2024-03-26
Business Address
RON LICAS
3906 62ND ST APT 2M
WOODSIDE, NY 11377-3660
Phone number: 848-468-3402
Mailing Address
RON LICAS
3906 62ND ST APT 2M
WOODSIDE, NY 11377-3660
Phone number: 848-468-3402