Individual
TAIRU TRERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1296 SHERIDAN AVE APT 3I, BRONX, NY 10456-1399
(646) 546-1431
Mailing address
1296 SHERIDAN AVE APT 3I, BRONX, NY 10456-1399
(646) 546-1431
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
318466
NY
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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