Individual
MISS ANDIN RENATA TAITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 MARSHALL DR S, BROOKLYN, NY 11209-8531
(312) 852-6862
Mailing address
344 MARSHALL DR S, BROOKLYN, NY 11209-8531
(312) 852-6862
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337475
NY
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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