Individual
CANDI ANEKIA LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 GIPSON STREET, 2ND FLOOR, FAR ROCKAWAY, NY 11691
(718) 395-0106
Mailing address
1409 GIPSON STREET, 2ND FLOOR, FAR ROCKAWAY, NY 11691
(718) 395-0106
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310012
NY
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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