Individual
MS. CAMALA ELIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 57TH ST, BROOKLYN, NY 11220-3617
(917) 624-5979
Mailing address
2832 W 23RD ST APT 5B, BROOKLYN, NY 11224-2399
(347) 228-5644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330405
NY
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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