Individual
MISS ANDREA MARCIA JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
825 E 227TH ST, BRONX, NY 10466-4420
(914) 633-0913
Mailing address
825 E 227TH ST, BRONX, NY 10466-4420
(914) 633-0913
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292315-1
NY
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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