Individual
MRS. DEZNA JACQUELINE SMIKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5332
Mailing address
1052 E 229TH ST, BRONX, NY 10466-4808
(718) 881-2819
(718) 881-2819
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
007431
NY
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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