Individual
NGUESSAN PELAGIE KONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
240 LEXINGTON AVE APT 3, JERSEY CITY, NJ 07304-1235
(201) 598-0642
Mailing address
240 LEXINGTON AVE APT 3, JERSEY CITY, NJ 07304-1235
(201) 598-0642
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328398
NY
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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