KETEVAN MIKAUTADZE

LONG ISLAND CITY, NY
NPI1700766656
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WS0200X Registered Nurse, School
(Licence: NY  725743)
Enumeration Date2025-09-03
Last Update Date2025-09-03
Business Address
-- KETEVAN MIKAUTADZE
2811 QUEENS PLZ N
LONG ISLAND CITY, NY 11101-4172
Phone number: 718-391-8300
Mailing Address
-- KETEVAN MIKAUTADZE
255 FIELDSTON TER APT 3M
BRONX, NY 10471-3064
Phone number: 347-357-9595
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