Omar Ricardo Sutherland
Omar Ricardo Sutherland is a Licensed Practical Nurse in Bronx, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
1166 E 223rd StBronx, NY 10466-5833
Phone: (917) 434-9858
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Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 286722-1 (NY) |
|---|
Record details
| NPI number | 1790968139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 7, 2007 |
| Last updated in NPPES | December 7, 2007 |
| Mailing address | 1166 E 223rd St, Bronx, NY 10466-5833 |
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