Individual
AKIIKI JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
22 W 128TH ST APT 5B, NEW YORK, NY 10027-3139
(646) 981-3430
Mailing address
22 W 128TH ST APT 5B, NEW YORK, NY 10027-3139
(646) 981-3430
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321550
NY
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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