TASIKA M VITAL

BRONX, NY
NPI1528687696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  345744)
Enumeration Date2020-04-09
Last Update Date2020-04-09
Business Address
TASIKA M VITAL
1650 GRAND CONCOURSE
BRONX, NY 10457-7606
Phone number: 718-960-1298
Mailing Address
TASIKA M VITAL
1650 GRAND CONCOURSE
BRONX, NY 10457-7606
Phone number: 718-960-1298
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