TIFFANY WALLACE

BROOKLYN, NY
NPI1184995268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  636824)
Enumeration Date2012-01-20
Last Update Date2015-01-31
Business Address
-- TIFFANY WALLACE
584 THOMAS S BOYLAND ST
BROOKLYN, NY 11212-5044
Phone number: 917-804-9969
Mailing Address
-- TIFFANY WALLACE
584 THOMAS S BOYLAND ST
BROOKLYN, NY 11212-5044
Phone number: 917-804-9969
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