MR. Jack Omondi Omboro, LPN

NPI #1609195411 in Peekskill, New York

Provider Information

NPI Number
1609195411
Entity Type
Individual
Name
MR. Jack Omondi Omboro, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
May 19, 2010
Last Updated
May 19, 2010

Practice Location

Address
945 PARKWAY PL
ZIP Code
10566-1823
Phone
(914) 736-6207

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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