Individual
KEVINA ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 POWELL ST, APT 17G, BROOKLYN, NY 11212-8140
(929) 320-6962
Mailing address
180 POWELL ST, APT 17G, BROOKLYN, NY 11212-8140
(929) 320-6962
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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