Individual
MS. LISA VALENCIA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6424 18TH AVE, BROOKLYN, NY 11204-3729
(212) 687-7464
Mailing address
70 LINDEN BLVD APT 5F, BROOKLYN, NY 11226-3162
(845) 275-4984
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
745211-01
NY
164W00000X
Licensed Practical Nurse
2762571
NY
Other
Enumeration date
12/17/2007
Last updated
10/09/2024
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