Individual
DAMILOLA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
52 ALASKA ST, STATEN ISLAND, NY 10310-1202
(917) 421-2929
Mailing address
52 ALASKA ST, STATEN ISLAND, NY 10310-1202
(917) 421-2929
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301913-1
NY
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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