BRUNO JESUS VALENZUELA

BRENTWOOD, NY
NPI1699313288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  336868)
Enumeration Date2019-12-15
Last Update Date2019-12-15
Business Address
BRUNO JESUS VALENZUELA
1 DEKALB AVE
BRENTWOOD, NY 11717-1605
Phone number: 631-332-0545
Mailing Address
BRUNO JESUS VALENZUELA
1 DEKALB AVE
BRENTWOOD, NY 11717-1605
Phone number: 631-332-0545