OMAR RICARDO SUTHERLAND

BRONX, NY
NPI1790968139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  286722-1)
Enumeration Date2007-12-07
Last Update Date2007-12-07
Business Address
-- OMAR RICARDO SUTHERLAND
1166 E 223RD ST
BRONX, NY 10466-5833
Phone number: 917-434-9858
Mailing Address
-- OMAR RICARDO SUTHERLAND
1166 E 223RD ST
BRONX, NY 10466-5833
Phone number: 917-434-9858
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