MRS. Icilda Innocent, RN

NPI #1356582407 in Elmont, New York

Provider Information

NPI Number
1356582407
Entity Type
Individual
Name
MRS. Icilda Innocent, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Mar 19, 2009
Last Updated
Mar 19, 2009

Practice Location

Address
137 BUTLER BLVD
City
Elmont
ZIP Code
11003
Phone
(347) 563-7693

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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