Individual
TAHSHEEMA LASHAWN BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 E SIDNEY AVE # SPT15D, MOUNT VERNON, NY 10550-1453
(914) 609-7379
Mailing address
40 E SIDNEY AVE # SPT15D, MOUNT VERNON, NY 10550-1453
(914) 609-7379
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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