Tisha Thomas, LPN
NPI #1962073155 in Valley Cottage, New York
Provider Information
- NPI Number
- 1962073155
- Entity Type
- Individual
- Name
- Tisha Thomas, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jul 8, 2021
- Last Updated
- Jul 8, 2021
Practice Location
- Address
- 706 EXECUTIVE BLVD STE D
- City
- Valley Cottage
- State
- New York
- ZIP Code
- 10989-2039
- Phone
- (845) 362-3904
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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