AXEN THEODORE

Licensed Practical Nurse

NPI: 1497130223Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

309721(NY)

Contact & Hours

Address: 3325 BERTHA DR
BALDWIN, NY 11510
Phone: (347) 821-2582

Quick Facts

NPI: 1497130223
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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