Marah Angelyne Yanetsko, LPN
Licensed Practical Nurse in Valley Stream, NY. Individual provider (NPI-1).
NPI number1891237772
StatusActive
Last updated in NPPESMay 1, 2017
Details
- NPI
- 1891237772
- Entity type
- Individual (NPI-1)
- Name
- Marah Angelyne Yanetsko
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2016
- Last updated
- May 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 32570-1 | NY | Yes |
Practice location
13 Cleveland StValley Stream, NY 11580-6003
Phone 516-823-0739
Mailing address
521 47th St Apt 2Brooklyn, NY 11220-1310
Phone 347-988-5447
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All 152 Licensed Practical Nurse providers in Valley Stream · All 2,560 providers in Valley Stream
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