STEPHEN WASP

BRONX, NY
NPI1922414564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  315772)
Enumeration Date2014-07-03
Last Update Date2014-07-03
Business Address
-- STEPHEN WASP LPN
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 718-579-5584
Mailing Address
-- STEPHEN WASP LPN
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 718-579-5584
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