| Tairu Trerra, | |
|
1296 Sheridan Ave Apt 3i, Bronx, NY 10456-1399 | |
| (646) 546-1431 | |
| Not Available |
| Full Name | Tairu Trerra |
|---|---|
| Gender | Male |
| Speciality | Licensed Vocational Nurse |
| Location | 1296 Sheridan Ave Apt 3i, Bronx, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043622269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 318466 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tairu Trerra, 1296 Sheridan Ave Apt 3i, Bronx, NY 10456-1399 Ph: (646) 546-1431 | Tairu Trerra, 1296 Sheridan Ave Apt 3i, Bronx, NY 10456-1399 Ph: (646) 546-1431 |
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