Individual
AGATHA NNENNAYA LEKWEUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 BRITTON ST, BRONX NY 10467, BRONX, NY 10467-7330
(718) 515-3707
Mailing address
651 BRITTON ST, BRONX NY 10467, BRONX, NY 10467-7330
(718) 515-3707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
452009
NY
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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