Individual
ANISA KARMELLA SYMONE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 BARNES AVE, BRONX, NY 10467-6523
(347) 853-5288
Mailing address
1 SUMMIT AVE FL 3, WHITE PLAINS, NY 10606-3003
(347) 853-5288
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
334013-1
NY
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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