Individual
MAYYA YUSUPOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(646) 409-5533
Mailing address
30 HUNTER LN, CAMP HILL, PA 17011-2400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
729059
NY
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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