Individual
MISS ALLIYAH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2527 GLEBE AVE, BRONX, NY 10461-3109
(718) 904-4400
Mailing address
2527 GLEBE AVE, BRONX, NY 10461-3109
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
339276-01
NY
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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