KRYSTLE ELECIA FOWLIN

BALDWIN, NY
NPI1932670015
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  297306)
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
KRYSTLE ELECIA FOWLIN LPN
2808 TULIP AVE
BALDWIN, NY 11510-4237
Phone number: 516-325-6529
Mailing Address
KRYSTLE ELECIA FOWLIN LPN
2808 TULIP AVE
BALDWIN, NY 11510-4237
Phone number: 516-325-6529