TISHAUNA FOOTMAN

BRONX, NY
NPI1457716565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  270287)
Enumeration Date2015-12-17
Last Update Date2015-12-17
Business Address
-- TISHAUNA FOOTMAN
2527 GLEBE AVE
BRONX, NY 10461-3109
Phone number: 718-904-4400
Mailing Address
-- TISHAUNA FOOTMAN
2527 GLEBE AVE
BRONX, NY 10461-3109
Phone number: