Individual
DAVENA DALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
870 E 216TH ST, BRONX, NY 10467-5817
(917) 488-4530
Mailing address
870 E 216TH ST, BRONX, NY 10467-5817
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
343130
NY
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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