SUSANA D TEDJASENDJAJA

WOODSIDE, NY
NPI1760813182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  677806)
Enumeration Date2013-12-11
Last Update Date2013-12-11
Business Address
-- SUSANA D TEDJASENDJAJA
3820 54TH ST
WOODSIDE, NY 11377-2417
Phone number: 917-412-2102
Mailing Address
-- SUSANA D TEDJASENDJAJA
3820 54TH ST
WOODSIDE, NY 11377-2417
Phone number: 917-412-2102