VIVIAN LATA

JAMAICA, NY
NPI1578932083
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: NY  F350171)
Enumeration Date2015-09-15
Last Update Date2015-09-15
Business Address
-- VIVIAN LATA NP
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3939
Mailing Address
-- VIVIAN LATA NP
8268 164 ST
JAMAICA, NY 11432
Phone number: 718-883-3939
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