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Individual

TONYA LASHAWN PEARTREE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4146 EDSON AVE, BRONX, NY 10466-2012
(718) 881-3040
Mailing address
4146 EDSON AVE, BRONX, NY 10466-2012
(718) 881-3040

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
490176
NY
163WN0300X
Nephrology Registered Nurse
Primary
490176
NY

Other

Enumeration date
03/28/2009
Last updated
03/28/2009
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