TABITHA HICKSON

ROOSEVELT, NY
NPI1275977449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  313284)
Enumeration Date2013-04-18
Last Update Date2013-04-18
Business Address
-- TABITHA HICKSON
149 ELMWOOD AVE
ROOSEVELT, NY 11575-1807
Phone number: 516-379-0614
Mailing Address
-- TABITHA HICKSON
149 ELMWOOD AVE
ROOSEVELT, NY 11575-1807
Phone number: 516-379-0614
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