Tiara Keshelle Lagrasta

NPI #1104541259 in Westbury, New York

Provider Information

NPI Number
1104541259
Entity Type
Individual
Name
Tiara Keshelle Lagrasta
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Enumeration Date
Oct 10, 2022
Last Updated
Oct 10, 2022

Practice Location

Address
21 2ND AVE
ZIP Code
11590-2556
Phone
(347) 510-9541

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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