Tifannie Henry, LPN
NPI #1447407077 in Mastic Beach, New York
Provider Information
- NPI Number
- 1447407077
- Entity Type
- Individual
- Name
- Tifannie Henry, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Aug 26, 2008
- Last Updated
- Aug 26, 2008
Practice Location
- Address
- 124 BEAVER DR
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-2806
- Phone
- (631) 729-6264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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