Individual
MRS. CRISTICITA MIRANDA VILLONGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
1966 LOUIS KOSSUTH AVE, RONKONKOMA, NY 11779-6423
(631) 648-8058
Mailing address
1966 LOUIS KOSSUTH AVE, RONKONKOMA, NY 11779-6423
(631) 648-8058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
545497-1
NY
Other
Enumeration date
06/22/2008
Last updated
06/22/2008
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