Tamika C Randall LPN

NPI 1093969909 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1093969909
Gender Female
Enumeration Date 11/05/2008
Last Updated 06/13/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
13 CLEVELAND ST
VALLEY STREAM NY, 11580-6003, US
Phone (516) 823-0739
Fax
Business Location
10820 164TH ST
2ND FLOOR
JAMAICA NY, 11433-2827, US
Phone (718) 487-3010
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 249194
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According to our database, Ms. Tamika C Randall LPN NPI is 1093969909, taxonomy code is 164W00000X and license number is 249194, license state is located at New York. Tamika C Randall LPN physically located at 13 Cleveland St, Valley Stream NY, 11580-6003. NPI Number Tamika C Randall LPN has the Individual type.

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1093969909 NPI number is provided on an as is basis without warranty of any kind. 1093969909 is maintained by the National Plan & Provider Enumeration System. The contents of Tamika C Randall LPN are for informational purposes only.