Individual
DACIA MELISSA LYTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
13929 GLASSBORO AVE, JAMAICA, NY 11435-5507
(917) 242-7019
Mailing address
13929 GLASSBORO AVE, JAMAICA, NY 11435-5507
(917) 242-7019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
921867
NY
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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