Individual
ARACELI THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 BROADWAY PH 12, NEW YORK, NY 10012-2614
(347) 294-3414
(205) 332-1383
Mailing address
632 BROADWAY PH 12, NEW YORK, NY 10012-2614
(347) 294-3414
(205) 332-1383
Taxonomy
Speciality
Code
Description
License number
State
163WX1100X
Ophthalmic Registered Nurse
AP131527
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP131527
TX
Other
Enumeration date
08/16/2016
Last updated
09/01/2022
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