Lissette Machuca

NPI 1760860795 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1760860795
Gender Female
Enumeration Date 05/11/2015
Last Updated 05/11/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1905 2ND AVE
4-E
NEW YORK NY, 10029-7450, US
Phone (917) 370-9003
Fax
Business Location
1905 2ND AVE
4-E
NEW YORK NY, 10029-7450, US
Phone (917) 370-9003
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 319751
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According to our database, Lissette Machuca NPI is 1760860795, taxonomy code is 164W00000X and license number is 319751, license state is located at New York. Lissette Machuca physically located at 1905 2nd Ave, New York NY, 10029-7450. NPI Number Lissette Machuca has the Individual type.

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1760860795 NPI number is provided on an as is basis without warranty of any kind. 1760860795 is maintained by the National Plan & Provider Enumeration System. The contents of Lissette Machuca are for informational purposes only.