LANCELOT A SHIRLEY

BRONX, NY
NPI1942489208
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  245252)
Enumeration Date2007-11-02
Last Update Date2007-11-02
Business Address
-- LANCELOT A SHIRLEY
3047 ELY AVE
BRONX, NY 10469-3226
Phone number: 718-653-1490
Mailing Address
-- LANCELOT A SHIRLEY
3047 ELY AVE
BRONX, NY 10469-3226
Phone number: 718-653-1490
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