Most Relevant Information
Provider Data
| NPI Number: | 1003200973 |
| Provider Name: | MIREILLE HAPPY LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 289461 |
Most Important Dates
| Enumeration Date: | 03/27/2015 |
| Last Updated: | 03/27/2015 |
Provider Practice Location
1105 ELDER AVE
APT56A
BRONX
NY
104723413
Practice Location Phone/Fax
| Phone: | 2124706264 |
| Fax: |
Provider Mailing Location
1105 ELDER AVE
APT56A
BRONX
NY
104723413
Provider Mailing Phone/Fax
| Phone: | 2124706264 |
| Fax: |