SARA TACKIE

BRONX, NY
NPI1154561744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  294799)
Enumeration Date2009-02-23
Last Update Date2009-05-05
Business Address
-- SARA TACKIE
2085 VALENTINE AVE APT 1-L
BRONX, NY 10457-3005
Phone number: 646-225-1753
Mailing Address
-- SARA TACKIE
2085 VALENTINE AVE APT 1-L
BRONX, NY 10457-3005
Phone number: 646-225-1753
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