TANISHIA C HICKS

KENMORE, NY
NPI1821416132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  317523)
Enumeration Date2014-04-03
Last Update Date2014-04-03
Business Address
-- TANISHIA C HICKS LPN
552 ENGLEWOOD AVE
KENMORE, NY 14223-2704
Phone number: 716-777-2776
Mailing Address
-- TANISHIA C HICKS LPN
552 ENGLEWOOD AVE.
KENMORE, NY 14223
Phone number: 716-777-2776