NPI | 1750678165 |
---|---|
Professional Name | ILLONDA CHEREESE MCCANTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 10276448) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 710581) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2018-04-25 |