NAGAMBAWA BANTON

BRONX, NY
NPI1841568367
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  307191-1)
Enumeration Date2011-12-12
Last Update Date2011-12-12
Business Address
-- NAGAMBAWA BANTON LPN
1706 NEREID AVE
BRONX, NY 10466-1212
Phone number: 914-498-1177
Mailing Address
-- NAGAMBAWA BANTON LPN
1706 NEREID AVE
BRONX, NY 10466-1212
Phone number: