Tache Ebony Star Gorton
Tache Ebony Star Gorton is a Licensed Practical Nurse in Bloomingburg, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
25 Aspen DrBloomingburg, NY 12721
Phone: (845) 249-9646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 33303701 (NY) |
|---|
Record details
| NPI number | 1306518626 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 5, 2021 |
| Last updated in NPPES | October 5, 2021 |
| Certification date | October 3, 2021 |
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