MODUPE ADEWALE

STATEN ISLAND, NY
NPI1770819583
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  288757)
Enumeration Date2009-10-29
Last Update Date2009-10-29
Business Address
-- MODUPE ADEWALE LPN
1477 HYLAN BLVD
STATEN ISLAND, NY 10305-1906
Phone number: 718-979-6900
Mailing Address
-- MODUPE ADEWALE LPN
33 POND WAY
STATEN ISLAND, NY 10303-1600
Phone number: 718-688-1035
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