TAMIKA SHAWNTRICE PETTY

BUFFALO, NY
NPI1205202207
Former NameTAMIKA SHAWNTRICE NEWELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  280729)
Enumeration Date2015-08-13
Last Update Date2015-08-13
Business Address
MRS. TAMIKA SHAWNTRICE PETTY LPN
189 BRUNSWICK BLVD 2
BUFFALO, NY 14208-1622
Phone number: 716-247-1481
Mailing Address
MRS. TAMIKA SHAWNTRICE PETTY LPN
189 BRUNSWICK BLVD 2
BUFFALO, NY 14208-1622
Phone number: 716-247-1481
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