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Maria Richelle Mauricio-Halagao, LPN

Licensed Practical Nurse in Bronx, NY. Individual provider (NPI-1).

NPI number1114596236
StatusActive
Last updated in NPPESJun 22, 2021

Details

NPI
1114596236
Entity type
Individual (NPI-1)
Name
Maria Richelle Mauricio-Halagao
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Jun 22, 2021
Certification date
Jun 22, 2021
Last updated
Jun 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse34146201NYYes

Practice location

1170 Astor Ave Apt 2
Bronx, NY 10469-5435

Phone 917-605-2777

Mailing address

1170 Astor Ave Apt 2
Bronx, NY 10469-5435

Phone 917-605-2777

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