Most Relevant Information
Provider Data
| NPI Number: | 1003328923 |
| Provider Name: | ILUMINADA LEGASPI |
| Entity Type: | Individual |
| Taxonomy Code: | 163WA0400X |
| Specialty: | Registered Nurse |
| License Number: | 430179 |
Most Important Dates
| Enumeration Date: | 11/01/2017 |
| Last Updated: | 11/01/2017 |
Provider Practice Location
1910 ARTHUR AVE
BRONX
NY
104576305
Practice Location Phone/Fax
| Phone: | 7184668961 |
| Fax: |
Provider Mailing Location
1910 ARTHUR AVE
BRONX
NY
104576305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |