Individual
TANISHA TASHYA FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
630 MIDDLESEX ST, LINDEN, NJ 07036-2553
(908) 315-4406
Mailing address
630 MIDDLESEX ST, LINDEN, NJ 07036-2553
(908) 315-4406
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06933100
NJ
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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