Individual
AISHA KINSHASA-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1054 E 220TH ST, BRONX, NY 10469-1203
(718) 496-8877
Mailing address
1054 E 220TH ST, BRONX, NY 10469-1203
(718) 496-8877
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
278892-1
NY
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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