MISS Mandisa J. Samuel, LPN
NPI #1104165778 in Mount Vernon, New York
Provider Information
- NPI Number
- 1104165778
- Entity Type
- Individual
- Name
- MISS Mandisa J. Samuel, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Feb 2, 2013
- Last Updated
- Feb 2, 2013
Practice Location
- Address
- 53 BELL AVE
- City
- Mount Vernon
- State
- New York
- ZIP Code
- 10550-4808
- Phone
- (646) 778-6501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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