TIA NICOLE IRVIN

ELMIRA, NY
NPI1316266067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  295475)
Enumeration Date2010-05-20
Last Update Date2010-05-20
Business Address
-- TIA NICOLE IRVIN lpn
463 HATHORN CT
ELMIRA, NY 14901-1163
Phone number: 607-731-9160
Mailing Address
-- TIA NICOLE IRVIN lpn
463 HATHORN CT
ELMIRA, NY 14901-1163
Phone number: 607-731-9160
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