KELLY JOY PENA

RONKONKOMA, NY
NPI1710294871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  590517-1)
Enumeration Date2010-09-09
Last Update Date2010-09-09
Business Address
-- KELLY JOY PENA RN
2020 JULIA GOLDBACH AVE
RONKONKOMA, NY 11779-6311
Phone number: 631-676-4004
Mailing Address
-- KELLY JOY PENA RN
2020 JULIA GOLDBACH AVE
RONKONKOMA, NY 11779-6311
Phone number: 631-676-4004
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