Tamicka Grant RN

NPI 1033461744 - Registered Nurse - 163W00000X

NPI Details
NPI 1033461744
Gender Female
Enumeration Date 10/04/2012
Last Updated 01/31/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
3811 BROADWAY
ASTORIA NY, 11103-4045, US
Phone (718) 726-5953
Fax
Business Location
3811 BROADWAY
ASTORIA NY, 11103-4045, US
Phone (718) 726-5953
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 626785
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According to our database, Ms. Tamicka Grant RN NPI is 1033461744, taxonomy code is 163W00000X and license number is 626785, license state is located at New York. Tamicka Grant RN physically located at 3811 Broadway, Astoria NY, 11103-4045. NPI Number Tamicka Grant RN has the Individual type.

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1033461744 NPI number is provided on an as is basis without warranty of any kind. 1033461744 is maintained by the National Plan & Provider Enumeration System. The contents of Tamicka Grant RN are for informational purposes only.