TINASIA ADA INGRAM

CENTRAL ISLIP, NY
NPI1720429616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  314802)
Enumeration Date2013-07-09
Last Update Date2013-07-09
Business Address
TINASIA ADA INGRAM
113 APPLEGATE DR
CENTRAL ISLIP, NY 11722-1925
Phone number: 631-742-7338
Mailing Address
TINASIA ADA INGRAM
113 APPLEGATE DR
CENTRAL ISLIP, NY 11722-1925
Phone number:
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