TAVIA SHALESE BROOKS-VINES

BUFFALO, NY
NPI1245540343
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  246696-1)
Enumeration Date2010-10-07
Last Update Date2010-10-07
Business Address
-- TAVIA SHALESE BROOKS-VINES LPN
220 HUTCHINSON AVE
BUFFALO, NY 14215-2241
Phone number: 716-480-2751
Mailing Address
-- TAVIA SHALESE BROOKS-VINES LPN
220 HUTCHINSON AVE
BUFFALO, NY 14215-2241
Phone number: 716-480-2751