Tina Lynn Bruce LPN

NPI 1093030686 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1093030686
Gender Female
Enumeration Date 04/07/2010
Last Updated 04/07/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
668 CHAUNCEY ST
APT 3
BROOKLYN NY, 11207-1411, US
Phone (347) 533-6877
Fax
Business Location
668 CHAUNCEY ST
APT 3
BROOKLYN NY, 11207-1411, US
Phone (347) 533-6877
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 269244-1
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According to our database, Ms. Tina Lynn Bruce LPN NPI is 1093030686, taxonomy code is 164W00000X and license number is 269244-1, license state is located at New York. Tina Lynn Bruce LPN physically located at 668 Chauncey St, Brooklyn NY, 11207-1411. NPI Number Tina Lynn Bruce LPN has the Individual type.

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1093030686 NPI number is provided on an as is basis without warranty of any kind. 1093030686 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Lynn Bruce LPN are for informational purposes only.