Individual
LITA KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19009 118TH AVE, SAINT ALBANS, NY 11412-3340
(347) 926-2166
Mailing address
19009 118TH AVE, SAINT ALBANS, NY 11412-3340
(347) 926-2166
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
627647-1
NY
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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