Mary Boladalejohnson
NPI #1437615549 in Springfield Gardens, New York
Provider Information
- NPI Number
- 1437615549
- Entity Type
- Individual
- Name
- Mary Boladalejohnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Feb 13, 2019
- Last Updated
- Feb 13, 2019
Practice Location
- Address
- 14711 223RD ST
- State
- New York
- ZIP Code
- 11413-4143
- Phone
- (917) 935-3719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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