Individual
AKUNNA NNOROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22121 JAMAICA AVE, QUEENS VILLAGE, NY 11428-2015
(718) 468-6923
Mailing address
11449 NEWBURGH ST, JAMAICA, NY 11412-2628
(347) 606-0523
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
345015
NY
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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