Individual
KIM IONA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MINISTER OF RELIGION
Contact information
Practice address
19038 118TH AVE, SAINT ALBANS, NY 11412-3341
(718) 600-4241
Mailing address
9933 212TH ST, QUEENS VILLAGE, NY 11429-1148
(718) 600-4241
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
00532762
NY
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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