Individual
MRS. JATU YAMALOUPO LAVELAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
42 PELTON AVE, STATEN ISLAND, NY 10310-1517
(718) 556-3584
(718) 556-3584
Mailing address
42 PELTON AVE, STATEN ISLAND, NY 10310-1517
(718) 556-3584
(718) 556-3584
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
F-340752
NY
Other
Enumeration date
10/04/2009
Last updated
10/04/2009
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