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Organization
NPORT STAFFING
Active
Organization
NPORT STAFFING
Active
Other names
NPORT STAFFING
Organization subpart
No
Provider details
NPI number
Authorized official
SHATIKA UNIQUE PORTER LPN (LPN)
(914) 755-1166
Entity
Organization
Contact information
Practice address
122 TOMPKINS TER # 122, BEACON, NY 12508-1612
(914) 755-1166
Mailing address
122 TOMPKINS TERRACE, 122, BEACON, NY 12508-1612
(914) 755-1166
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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