THADDEUS HAIRSTON

Licensed Practical Nurse

NPI: 1356756019Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

251862-1(NY)

Contact & Hours

Address: 1015 7TH NORTH ST APT A2
LIVERPOOL, NY 13088
Phone: (315) 491-8814

Location

Practice Location

1015 7TH NORTH ST APT A2, LIVERPOOL, NY

Quick Facts

NPI: 1356756019
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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