Individual
BLONDELL HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 E 92ND ST, BROOKLYN, NY 11236-3926
(347) 789-1080
Mailing address
1205 E 92ND ST, BROOKLYN, NY 11236-3926
(347) 789-1080
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
345043
NY
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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