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Individual

HERMINA SERWAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1889 RANDALL AVE FL 2, BRONX, NY 10473-2933
(929) 216-5829
Mailing address
1889 RANDALL AVE APT 2ND, BRONX, NY 10473-2933
(646) 703-8007

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18214812343
COMPANION CARE
NY
05
1821481243
NY
Enumeration date
06/03/2022
Last updated
06/03/2022
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