Olive Nerissa Jennas Leung LPN

NPI 1013186162 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1013186162
Gender Female
Enumeration Date 02/22/2008
Last Updated 02/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3140 77TH ST
JACKSON HEIGHTS NY, 11370, US
Phone (718) 672-4898
Fax
Business Location
PO BOX 130269
BROOKLYN NY, 11213, US
Phone (917) 846-3985
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 2022901
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According to our database, Mrs. Olive Nerissa Jennas Leung LPN NPI is 1013186162, taxonomy code is 164W00000X and license number is 2022901, license state is located at New York. Olive Nerissa Jennas Leung LPN physically located at 3140 77th St, Jackson Heights NY, 11370. NPI Number Olive Nerissa Jennas Leung LPN has the Individual type.

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1013186162 NPI number is provided on an as is basis without warranty of any kind. 1013186162 is maintained by the National Plan & Provider Enumeration System. The contents of Olive Nerissa Jennas Leung LPN are for informational purposes only.