AIESHA MACKBENNETT

MEDFORD, NY
NPI1629473715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  319985-1)
Enumeration Date2014-10-31
Last Update Date2014-10-31
Business Address
-- AIESHA MACKBENNETT
28 CARR LN
MEDFORD, NY 11763-1071
Phone number: 631-846-6194
Mailing Address
-- AIESHA MACKBENNETT
28 CARR LANE
MEDFORD, NY 11763
Phone number: 631-846-6194
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