HAZEL M DACOSTA

BRONX, NY
NPI1720214091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  6148321-1)
Enumeration Date2009-06-01
Last Update Date2009-06-01
Business Address
-- HAZEL M DACOSTA
3030 HONE AVE
BRONX, NY 10469-3910
Phone number: 718-882-3979
Mailing Address
-- HAZEL M DACOSTA
3030 HONE AVE
BRONX, NY 10469-3910
Phone number: 718-882-3979
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