KYLIE MAE TAVERNIA

CONSTABLE, NY
NPI1558025775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies376K00000X Nurse's Aide
Enumeration Date2021-10-25
Last Update Date2021-11-15
Business Address
KYLIE MAE TAVERNIA
1225 STATE ROUTE 122
CONSTABLE, NY 12926-3006
Phone number: 518-651-0487
Mailing Address
KYLIE MAE TAVERNIA
125 FINNEY BLVD
MALONE, NY 12953-1067
Phone number: 518-483-1251