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YOHANNES WARDHANA

Registered Nurse

NPI: 1780942458Individual

Specialties, Licenses & Credentials

Licensed Practical Nurse

Code: 164W00000X

307334(NY)

Registered Nurse

Code: 163W00000X

700163-1(NY)
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Contact & Hours

Address
8007 45TH AVE, 1ST FLOOR
ELMHURST, NY 11373

Quick Facts

NPI
1780942458
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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