JOHVANI E BANTILES

WATERTOWN, NY
NPI1770332280
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: NY  915663)
Enumeration Date2024-05-16
Last Update Date2024-10-03
Business Address
JOHVANI E BANTILES
650 STATE ST
WATERTOWN, NY 13601-2839
Phone number: 315-755-1251
Mailing Address
JOHVANI E BANTILES
720 MILL ST APT 1
WATERTOWN, NY 13601-1566
Phone number: 315-775-7649
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