Ophelia Ann Marks LPN

NPI 1073792693 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1073792693
Gender Female
Enumeration Date 10/31/2007
Last Updated 10/31/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
55 BOWEN ST APT 407
STATEN ISLAND NY, 10304-3549, US
Phone (404) 451-1314
Fax
Business Location
55 BOWEN ST APT 407
STATEN ISLAND NY, 10304-3549, US
Phone (404) 451-1314
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 2350881
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According to our database, Ms. Ophelia Ann Marks LPN NPI is 1073792693, taxonomy code is 164W00000X and license number is 2350881, license state is located at New York. Ophelia Ann Marks LPN physically located at 55 Bowen St Apt 407, Staten Island NY, 10304-3549. NPI Number Ophelia Ann Marks LPN has the Individual type.

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1073792693 NPI number is provided on an as is basis without warranty of any kind. 1073792693 is maintained by the National Plan & Provider Enumeration System. The contents of Ophelia Ann Marks LPN are for informational purposes only.