ELISIEA CLASS

CENTRAL ISLIP, NY
NPI1992155808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  325729)
Enumeration Date2016-06-21
Last Update Date2016-06-21
Business Address
-- ELISIEA CLASS LPN
205 HAWTHORNE AVE APT 65
CENTRAL ISLIP, NY 11722-5119
Phone number: 631-487-7763
Mailing Address
-- ELISIEA CLASS LPN
205 HAWTHORNE AVE APT 65
CENTRAL ISLIP, NY 11722-5119
Phone number: 631-487-7763
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