Tiara Keshelle Lagrasta, | |
21 2nd Ave, Westbury, NY 11590-2556 | |
(347) 510-9541 | |
Not Available |
Full Name | Tiara Keshelle Lagrasta |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 21 2nd Ave, Westbury, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104541259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 795592 (New York) | Primary |
Mailing Address | Practice Location Address |
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Tiara Keshelle Lagrasta, 21 2nd Ave, Westbury, NY 11590-2556 Ph: (347) 510-9541 | Tiara Keshelle Lagrasta, 21 2nd Ave, Westbury, NY 11590-2556 Ph: (347) 510-9541 |
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