Most Relevant Information
Provider Data
| NPI Number: | 1003350968 |
| Provider Name: | JEAN SOUFFRANT |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 315496 |
Most Important Dates
| Enumeration Date: | 12/12/2016 |
| Last Updated: | 12/12/2016 |
Provider Practice Location
1767 TOPPING AVE
BRONX
NY
104577236
Practice Location Phone/Fax
| Phone: | 3476444766 |
| Fax: |
Provider Mailing Location
1767 TOPPING AVE
BRONX
NY
104577236
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |