Individual
AUGUSTINA ILOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1159 W FARMS RD, BRONX, NY 10459-2083
(678) 360-5221
Mailing address
1159 W FARMS RD, BRONX, NY 10459-2083
(678) 360-5221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
808009
NY
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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