Individual
CORDELIA GOODLUCK-BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
836 UTICA AVE, 4C, BROOKLYN, NY 11203-3478
(718) 940-6096
Mailing address
836 UTICA AVE, 4C, BROOKLYN, NY 11203-3478
(718) 940-6096
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3173061
NY
Other
Enumeration date
12/28/2013
Last updated
12/28/2013
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