NICOLE TISKEVICS

MEDFORD, NY
NPI1578220737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  796938)
Enumeration Date2021-11-23
Last Update Date2021-11-23
Business Address
NICOLE TISKEVICS
90 MAPLE ST
MEDFORD, NY 11763-4042
Phone number: 631-813-9986
Mailing Address
NICOLE TISKEVICS
90 MAPLE ST
MEDFORD, NY 11763-4042
Phone number: 631-813-9986
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