THERESA BRISCOE

MEDFORD, NY
NPI1811349830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  299114-1)
Enumeration Date2016-07-01
Last Update Date2016-07-01
Business Address
THERESA BRISCOE
3107 EAGLE AVE
MEDFORD, NY 11763-1749
Phone number: 631-764-5002
Mailing Address
THERESA BRISCOE
3107 EAGLE AVE
MEDFORD, NY 11763-1749
Phone number: 631-764-5002