Individual
EUCHARIA ILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 E 221ST ST, BRONX, NY 10469-1525
(646) 964-7336
Mailing address
1156 E 221ST ST, BRONX, NY 10469-1525
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
479232-01
NY
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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