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1881339331
TANISHA VELASQUEZ
BRONX, NY
NPI
1881339331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 342174)
Enumeration Date
2022-04-29
Last Update Date
2022-04-29
Business Address
TANISHA VELASQUEZ
1104 MANOR AVE
BRONX, NY 10472-3919
Phone number: 646-806-7754
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Mailing Address
TANISHA VELASQUEZ
1104 MANOR AVE
BRONX, NY 10472-3919
Phone number: 646-806-7754
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