Most Relevant Information
Provider Data
| NPI Number: | 1003069972 |
| Provider Name: | ROSINA MAKOMBESE |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 289126 |
Most Important Dates
| Enumeration Date: | 10/23/2008 |
| Last Updated: | 10/23/2008 |
Provider Practice Location
11212 208TH ST
QUEENS VILLAGE
NY
114292206
Practice Location Phone/Fax
| Phone: | 7184653786 |
| Fax: |
Provider Mailing Location
11212 208TH ST
QUEENS VILLAGE
NY
114292206
Provider Mailing Phone/Fax
| Phone: | 7184653786 |
| Fax: |