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Lissette Wilkes

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

NPI number1417224809
StatusActive
Last updated in NPPESNov 29, 2011

Details

NPI
1417224809
Entity type
Individual (NPI-1)
Name
Lissette Wilkes
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 29, 2011
Last updated
Nov 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse2944091NYYes

Practice location

17819 Croydon Rd
Jamaica, NY 11432-2203

Phone 718-607-6773

Mailing address

17819 Croydon Rd
Jamaica, NY 11432-2203

Phone 718-607-6773

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