OLIVE MADDIX

STATEN ISLAND, NY
NPI1700305349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  299570-1)
Enumeration Date2017-09-14
Last Update Date2017-09-14
Business Address
OLIVE MADDIX LPN
1477 HYLAN BLVD
STATEN ISLAND, NY 10305-1906
Phone number: 718-979-6900
Mailing Address
OLIVE MADDIX LPN
170A CONTINENTAL PL
STATEN ISLAND, NY 10303-1800
Phone number: 347-264-9987
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