Individual
CHERYL WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16740 145TH DR, JAMAICA, NY 11434-5113
(631) 316-9769
Mailing address
16740 145TH DR, JAMAICA, NY 11434-5113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
250334
NY
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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