Anthony Lopez Joyner LPN

NPI 1710238472 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1710238472
Gender Male
Enumeration Date 09/21/2012
Last Updated 09/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
36 N 15TH ST
WYANDANCH NY, 11798-2312, US
Phone (910) 574-4181
Fax (347) 945-0938
Business Location
36 N 15TH ST
WYANDANCH NY, 11798-2312, US
Phone (910) 574-4181
Fax (347) 945-0938
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 311479
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According to our database, Mr. Anthony Lopez Joyner LPN NPI is 1710238472, taxonomy code is 164W00000X and license number is 311479, license state is located at New York. Anthony Lopez Joyner LPN physically located at 36 N 15th St, Wyandanch NY, 11798-2312. NPI Number Anthony Lopez Joyner LPN has the Individual type.

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1710238472 NPI number is provided on an as is basis without warranty of any kind. 1710238472 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Lopez Joyner LPN are for informational purposes only.