Individual
CHARLOTTE AGBAKLA TAMATEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
29 JOHNSON AVE, WHEATLEY HEIGHTS, NY 11798-2505
(631) 790-8827
Mailing address
100 ELGAR PL APT 30J, BRONX, NY 10475-5048
(347) 863-2918
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297380
NY
Other
Enumeration date
03/24/2010
Last updated
04/20/2015
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