Individual
LETECIA Y BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
603 ELIZABETH AVE APT 5A, NEWARK, NJ 07112-2424
(347) 791-6393
Mailing address
603 ELIZABETH AVE APT 5A, NEWARK, NJ 07112-2424
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341326
NY
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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