Individual
MISS SELINA UKIMMY JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
92-19 190TH STREET, APT 3, HOLLIS, NY 11423
(718) 679-0059
Mailing address
92-19 190TH STREET, APT 3, HOLLIS, NY 11423
(718) 679-0059
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
10 293124
NY
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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