Individual
CAMILLE TULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 CLINTON ST, HEMPSTEAD, NY 11550-4281
(516) 933-0485
Mailing address
662 E 21ST ST, BROOKLYN, NY 11226-7580
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320429
NY
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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