Individual
MWEENE MATULULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 APPLETREE LN, ROSLYN HEIGHTS, NY 11577-2455
(631) 629-9363
Mailing address
17 APPLETREE LN, ROSLYN HEIGHTS, NY 11577-2455
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
343603370914E
NY
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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