TIFFANY JACK

BRONX, NY
NPI1114371838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  712975)
Enumeration Date2016-04-19
Last Update Date2016-04-19
Business Address
-- TIFFANY JACK
801 E 241ST ST
BRONX, NY 10470-1303
Phone number: 718-671-2100
Mailing Address
-- TIFFANY JACK
801 E 241ST ST
BRONX, NY 10470-1303
Phone number: 718-671-2100
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