Tabitha A Mass, LPN
Licensed Practical Nurse in Holbrook, NY. Individual provider (NPI-1).
NPI number1043677057
StatusActive
Last updated in NPPESJan 21, 2016
Details
- NPI
- 1043677057
- Entity type
- Individual (NPI-1)
- Name
- Tabitha A Mass
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2016
- Last updated
- Jan 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 324606-1 | NY | Yes |
Practice location
497 Coates AveHolbrook, NY 11741-6005
Phone 631-599-3509
Mailing address
497 Coates AveHolbrook, NY 11741-6005
Phone 631-599-3509
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