TINA BLACK

ROSEDALE, NY
NPI1750853305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  304043-1)
Enumeration Date2018-12-20
Last Update Date2018-12-20
Business Address
TINA BLACK
24325 CANEY RD
ROSEDALE, NY 11422-2329
Phone number: 347-653-3465
Mailing Address
TINA BLACK
24325 CANEY RD
ROSEDALE, NY 11422-2329
Phone number:
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