Jack M Miljour Jr., LPN
Licensed Practical Nurse in Tonawanda, NY. Individual provider (NPI-1).
NPI number1497988026
StatusActive
Last updated in NPPESAug 31, 2009
Details
- NPI
- 1497988026
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jack M Miljour Jr.
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2009
- Last updated
- Aug 31, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 296157-1 | NY | Yes |
Practice location
248 Young StTonawanda, NY 14150-2328
Phone 716-523-6923
Mailing address
248 Young StTonawanda, NY 14150-2328
Phone 716-523-6923
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All 57 Licensed Practical Nurse providers in Tonawanda · All 886 providers in Tonawanda
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