Individual
DONIELLE OLIVIA PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1375 NELSON AVE APT 4D, BRONX, NY 10452-2443
(917) 359-8429
Mailing address
1375 NELSON AVE APT 4D, BRONX, NY 10452-2443
(917) 359-8429
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
735594
NY
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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