Individual
JANESSA YUVETTE BURRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8847 208TH ST, QUEENS VILLAGE, NY 11427-2258
(646) 773-6705
Mailing address
8847 208TH ST, QUEENS VILLAGE, NY 11427-2258
(646) 773-6705
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
3002031
NY
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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