Individual
MISS BREANA JULIA ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
430 WESTWOOD AVE, STATEN ISLAND, NY 10314-5362
(347) 209-4123
Mailing address
430 WESTWOOD AVE, STATEN ISLAND, NY 10314-5362
(347) 209-4123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
713896-1
NY
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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