Most Relevant Information
Provider Data
| NPI Number: | 1003362690 |
| Provider Name: | DONNETT SHERLET MAYNARD-IGBINOMWANHIA LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 287255-1 |
Most Important Dates
| Enumeration Date: | 09/01/2016 |
| Last Updated: | 09/01/2016 |
Provider Practice Location
150 DREISER LOOP
APT. 5F
BRONX
NY
104751931
Practice Location Phone/Fax
| Phone: | 9174345232 |
| Fax: |
Provider Mailing Location
150 DREISER LOOP
APT. 5F
BRONX
NY
104751931
Provider Mailing Phone/Fax
| Phone: | 9174345232 |
| Fax: |