Individual
MRS. AGNES COLLIS JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
934 ALBANY AVE, BROOKLYN, NY 11203-4022
(718) 441-8913
(718) 846-9064
Mailing address
934 ALBANY AVE, BROOKLYN, NY 11203-4022
(718) 441-8913
(718) 846-9064
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
198358-1
NY
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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