TISHA GRISSOM

BROOKLYN, NY
NPI1215464862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  262906)
Enumeration Date2017-05-15
Last Update Date2017-05-15
Business Address
TISHA GRISSOM
494 DUMONT AVE
BROOKLYN, NY 11207-5017
Phone number: 718-260-2920
Mailing Address
TISHA GRISSOM
22 CHAPEL ST
BROOKLYN, NY 11201-1903
Phone number:
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