DIVINA GRACIA A LLANES

BRONX, NY
NPI1932741246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY  440292)
Enumeration Date2019-10-09
Last Update Date2019-10-09
Business Address
DIVINA GRACIA A LLANES
1500 WATERS PL
BRONX, NY 10461-2723
Phone number: 929-348-3218
Mailing Address
DIVINA GRACIA A LLANES
1856 FOWLER AVE PH
BRONX, NY 10462-3709
Phone number: 917-773-2710