JACQUELYN DENISE ELLISON

JAMAICA, NY
NPI1679862114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  16148841)
Enumeration Date2011-04-05
Last Update Date2011-04-05
Business Address
Ms. JACQUELYN DENISE ELLISON LPN
14030 173RD ST
JAMAICA, NY 11434-4626
Phone number: 718-481-6536
Mailing Address
Ms. JACQUELYN DENISE ELLISON LPN
14030 173RD ST
JAMAICA, NY 11434-4626
Phone number: 718-481-6536