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Individual

MRS. ABIOLA M WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
870 SOUTHERN BLVD APT 7I, BRONX, NY 10459-4557
(646) 667-5259
(347) 726-3544
Mailing address
870 SOUTHERN BLVD APT 7I, BRONX, NY 10459-4557
(646) 667-5259
(347) 726-3544

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
304471
NY

Other

Enumeration date
01/10/2011
Last updated
01/10/2011
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