Individual
CATINA PEBBLES LUCAS-STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
920 BAYCHESTER AVENUE, 19B, BRONX, NY 10475-1737
(929) 299-8187
Mailing address
120 DEKRUIF PLACE, 5B, BRONX, NY 10475
(929) 299-8187
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317003
NY
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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