Nicketta Blair

NPI #1982183398 in Laurelton, New York

Provider Information

NPI Number
1982183398
Entity Type
Individual
Name
Nicketta Blair
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Aug 8, 2018
Last Updated
Aug 8, 2018

Practice Location

Address
23214 MERRICK BLVD
ZIP Code
11413-2115
Phone
(718) 528-4375

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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