Individual
SALOME AYISA KPAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
327 E 206TH ST APT 39, BRONX, NY 10467-4082
(929) 426-9148
Mailing address
327 E 206TH ST APT 39, BRONX, NY 10467-4082
(929) 426-9148
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
840438-01
NY
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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