Individual
KRISTINA TAHIROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
621 MONMOUTH AVE, PORT MONMOUTH, NJ 07758-1614
(646) 577-8616
Mailing address
621 MONMOUTH AVE, PORT MONMOUTH, NJ 07758-1614
(646) 577-8616
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
905055
NY
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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