Individual
AMERICA TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3424 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 519-3975
Mailing address
3424 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 519-3975
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
445165
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WL0100X
—
NY
Enumeration date
05/10/2013
Last updated
05/10/2013
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