Individual
DAHLIA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2 CIRCLE DR W, ELMONT, NY 11003-2120
(917) 420-2267
Mailing address
2 CIRCLE DR W, ELMONT, NY 11003-2120
(917) 420-2267
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314754
NY
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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