Tiffany Bravo, L.P.N

NPI #1417332362 in Mastic, New York

Provider Information

NPI Number
1417332362
Entity Type
Individual
Name
Tiffany Bravo, L.P.N
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
L.P.N
Enumeration Date
Jul 21, 2015
Last Updated
Jul 21, 2015

Practice Location

Address
23 OCEAN AVE
City
Mastic
ZIP Code
11950-4410
Phone
(631) 513-7433

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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