Individual
ADJOUA ANASTASIA IPOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2475 SAINT RAYMONDS AVE, BRONX, NY 10461-3124
(212) 454-2233
(212) 878-8544
Mailing address
2475 SAINT RAYMONDS AVE, BRONX, NY 10461-3124
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10315896
NY
Other
Enumeration date
10/22/2013
Last updated
11/17/2016
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