Individual
TENILLE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
2052 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Mailing address
3204 HOLLAND AVE, APARTMENT # 5L, BRONX, NY 10467-6533
(347) 385-2430
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
684588
NY
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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