Individual
AYANNA HUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2804 33RD ST, ASTORIA, NY 11102-1324
(586) 359-7956
Mailing address
2804 33RD ST, ASTORIA, NY 11102-1324
(586) 359-7956
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114122
MI
Other
Enumeration date
10/10/2014
Last updated
10/08/2016
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