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NPI Code Detail

MEDICARE: NJANKO TRAWALLEH LPN-PRACTICAL NURSE

MEDICARE:   NJANKO  TRAWALLEH  LPN-PRACTICAL NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse315411NY

General Provider Information

NPI Number : 1275980815
Entity Type Code : Individual
Provider Name (Legal Business Name) : NJANKO TRAWALLEH LPN-PRACTICAL NURSE
Provider Business Mailing Address
First Line : 2695 BRIGGS AVE
Second Line : APT. D4
City : BRONX
State : NY
Zip : 10458-4006
Country : US
Telephone Number : 917-293-2412
Fax Number :
Provider Business Practice Location Address
First Line : 2695 BRIGGS AVE
Second Line : APT. D4
City : BRONX
State : NY
Zip : 10458-4006
Country : US
Telephone Number : 917-293-2412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2016
Last Update Date : 05/23/2016

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Directions to “ NJANKO TRAWALLEH LPN-PRACTICAL NURSE” Practice Location

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