Individual
ALICE MANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 HILL AVE, APT 2, BRONX, NY 10466
(718) 994-1520
Mailing address
4515 HILL AVE, APT, BRONX, NY 10466-1025
(732) 688-9382
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311627
NY
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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