DERESE KENENI

BRONX, NY
NPI1912453796
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  715453)
Enumeration Date2016-08-31
Last Update Date2016-08-31
Business Address
-- DERESE KENENI
1575 ODELL ST 1G
BRONX, NY 10462-7053
Phone number: 646-236-4884
Mailing Address
-- DERESE KENENI
1575 ODELL STREET 1G
BRONX, NY 10462
Phone number: 646-236-4884
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