FUNMI MODUPE AWELEWA

BRENTWOOD, NY
NPI1811399397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  3177-92)
Enumeration Date2014-09-16
Last Update Date2014-09-16
Business Address
-- FUNMI MODUPE AWELEWA
178 THOMAS ST
BRENTWOOD, NY 11717-1240
Phone number: 631-612-1317
Mailing Address
-- FUNMI MODUPE AWELEWA
178 THOMAS ST
BRENTWOOD, NY 11717-1240
Phone number: 631-612-1317