Thaddeus Hairston
Thaddeus Hairston is a Licensed Practical Nurse in Liverpool, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
1015 7th North St Apt A2Liverpool, NY 13088-6138
Phone: (315) 491-8814
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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 251862-1 (NY) |
|---|
Record details
| NPI number | 1356756019 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 21, 2014 |
| Last updated in NPPES | June 21, 2014 |
| Mailing address | 1015 7th North St Apt A2, Liverpool, NY 13088-6138 |
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