MIRANDA WARDELLE FUGATE

BRONX, NY
NPI1962957035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  718922-1)
Enumeration Date2016-08-18
Last Update Date2016-08-18
Business Address
Miss MIRANDA WARDELLE FUGATE BSN, RN
750 TILDEN ST
BRONX, NY 10467-6013
Phone number: 352-538-2404
Mailing Address
Miss MIRANDA WARDELLE FUGATE BSN, RN
750 TILDEN ST
BRONX, NY 10467-6013
Phone number: 352-538-2404