SHATISHA WELCH

BRENTWOOD, NY
NPI1235589722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  325522)
Enumeration Date2016-06-15
Last Update Date2016-06-15
Business Address
-- SHATISHA WELCH
386 MAYFLOWER AVE
BRENTWOOD, NY 11717-8202
Phone number: 631-387-5417
Mailing Address
-- SHATISHA WELCH
386 MAYFLOWER AVE
BRENTWOOD, NY 11717-8202
Phone number: