VANISHA TATE

STATEN ISLAND, NY
NPI1790337962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  274733)
Enumeration Date2019-07-09
Last Update Date2019-07-09
Business Address
VANISHA TATE LPN
800 VICTORY BLVD
STATEN ISLAND, NY 10301-3702
Phone number: 718-419-7767
Mailing Address
VANISHA TATE LPN
800 VICTORY BLVD
STATEN ISLAND, NY 10301-3702
Phone number: