DITA PENROSE

BRONX, NY
NPI1932463726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  307150)
Enumeration Date2012-06-27
Last Update Date2012-06-27
Business Address
-- DITA PENROSE LPN
2054 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
Mailing Address
-- DITA PENROSE LPN
2054 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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