Individual
ANGELA LOMAX-NUTAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 W MOSHOLU PKWY S, APT 29, BRONX, NY 10468-1126
(917) 856-9501
Mailing address
20 W MOSHOLU PKWY S, APT 29, BRONX, NY 10468-1126
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290981
NY
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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