Individual
DAPHNE EVADNE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 E 233RD ST, BRONX, NY 10466-3317
(718) 231-8377
Mailing address
1022 E 233RD ST, BRONX, NY 10466-3317
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
166223-1
NY
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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