TAMARA LYNNETTE BOLTON

DEER PARK, NY
NPI1932490810
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  301139-1)
Enumeration Date2011-04-26
Last Update Date2011-04-26
Business Address
-- TAMARA LYNNETTE BOLTON
1806 DEER PARK AVE
DEER PARK, NY 11729-4301
Phone number: 631-940-8266
Mailing Address
-- TAMARA LYNNETTE BOLTON
1806 DEER PARK AVENUE
DEER PARK, NY 11729
Phone number: 631-940-8266
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