Glenda Willock, | |
2052 Tillotson Ave, Bronx, NY 10475-1560 | |
(718) 671-2100 | |
Not Available |
Full Name | Glenda Willock |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 2052 Tillotson Ave, Bronx, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093176240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 319475 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Glenda Willock, 2052 Tillotson Ave, Bronx, NY 10475-1560 Ph: (718) 671-2100 | Glenda Willock, 2052 Tillotson Ave, Bronx, NY 10475-1560 Ph: (718) 671-2100 |
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