Daphney Bourjolly, DAPHNEY BOURJOLLY

NPI #1235433160 in Central Islip, New York

Provider Information

NPI Number
1235433160
Entity Type
Individual
Name
Daphney Bourjolly, DAPHNEY BOURJOLLY
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
DAPHNEY BOURJOLLY
Enumeration Date
Jan 6, 2011
Last Updated
Jan 6, 2011

Practice Location

Address
125 HAWTHORNE AVE
Address 2
346
ZIP Code
11722-1367
Phone
(631) 327-6969

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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