Individual
ALYLISA HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 METROPOLITAN AVE, APARTMENT 3G, BRONX, NY 10462-6979
(770) 369-6990
Mailing address
1640 METROPOLITAN AVE, APARTMENT 3G, BRONX, NY 10462-6979
(770) 369-6990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
439451-1
NY
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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