CORNELIA VIVECA MANTOCK

BRONX, NY
NPI1760730683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  296987-1)
Enumeration Date2012-08-27
Last Update Date2012-09-21
Business Address
Ms. CORNELIA VIVECA MANTOCK
1045 E 230 STREET
BRONX, NY 10466
Phone number: 718-882-3675
Mailing Address
Ms. CORNELIA VIVECA MANTOCK
P.O BOX 1378 1045 EAST 230 STREET
BRONX, NY 10466
Phone number: 715-882-3675