Individual
KERIANN TOMLINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 JOHNSON AVE APT 36, ELMONT, NY 11003-2364
(718) 749-3363
Mailing address
1601 JOHNSON AVE APT 36, ELMONT, NY 11003-2364
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306552-1
NY
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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