Individual
MISS ANNIE R.D. MILLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
731 TILDEN ST, 1ST FL, BRONX, NY 10467-6012
(917) 569-4495
Mailing address
731 TILDEN ST, 1ST FL, BRONX, NY 10467-6012
(917) 569-4495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32078-1
NY
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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