Individual
MISS YASSAM TIFFANY OSBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
416 LINCOLN AVE, CLIFFSIDE PARK, NJ 07010-1821
(914) 433-3335
Mailing address
416 LINCOLN AVE, CLIFFSIDE PARK, NJ 07010-1821
(914) 433-3335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
743898
NY
164W00000X
Licensed Practical Nurse
321541-1
NY
Other
Enumeration date
08/26/2016
Last updated
06/16/2019
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