Ahjalee Xenobia Richard716

NPI #1396417820 in Staten Island, New York

Provider Information

NPI Number: 1396417820
Entity Type: Individual
Name: Ahjalee Xenobia Richard716
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Enumeration Date: Oct 4, 2021
Last Updated: Oct 4, 2021

Practice Location

Address: 26 DUMONT AVE
City: Staten Island
State: New York
ZIP Code: 10305-1450
Phone: (718) 667-8511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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