TANISHA DOMINIQUE JEAN

VALLEY STREAM, NY
NPI1649686619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  316761)
Enumeration Date2014-07-10
Last Update Date2014-07-10
Business Address
-- TANISHA DOMINIQUE JEAN
13 CLEVELAND ST 13 CLEVELAND ST
VALLEY STREAM, NY 11580-6003
Phone number: 212-677-8666
Mailing Address
-- TANISHA DOMINIQUE JEAN
1313 CLEVELAND ST
VALLEY STREAM, NY 11580-0000
Phone number: 212-677-8666
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