MISS Ifeoma Sunday Otisi, LPN

NPI #1306138615 in Hollis, New York

Provider Information

NPI Number
1306138615
Entity Type
Individual
Name
MISS Ifeoma Sunday Otisi, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
May 4, 2011
Last Updated
Oct 21, 2011

Practice Location

Address
19006 HOLLIS AVE
Address 2
1ST FL.
City
Hollis
ZIP Code
11423-2829
Phone
(347) 613-5268

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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