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Lystra Bodu
NPI 1982954426 · on the registry since 2012 · sole proprietor
Practice
- Address
- 8825 163 Street
Jamaica, NY 11432 - Phone
- (718) 739-0045
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York