Individual
BOLAJOKO ESTHER DINYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
112-32 223RD STREET, QUEENS VILLAGE, QUEENS, NY 11429-2732
(718) 581-6785
Mailing address
112-32 223RD STREET, QUEENS VILLAGE, QUEENS, NY 11429-2732
(718) 581-6785
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
285282-1
NY
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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