Individual
CILLIA EMEBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 LINCOLN AVE, APT. 16N, BROOKLYN, NY 11208-4173
(347) 679-5310
Mailing address
765 LINCOLN AVE, APT. 16N, BROOKLYN, NY 11208-4173
(347) 679-5310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317796
NY
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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