Most Relevant Information
Provider Data
| NPI Number: | 1003274861 |
| Provider Name: | TIMIEKA MORELAND |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 324260 |
Most Important Dates
| Enumeration Date: | 02/08/2016 |
| Last Updated: | 02/08/2016 |
Provider Practice Location
114 YALE ST APT A
HEMPSTEAD
NY
115502801
Practice Location Phone/Fax
| Phone: | 5169022043 |
| Fax: |
Provider Mailing Location
114 YALE ST APT A
HEMPSTEAD
NY
115502801
Provider Mailing Phone/Fax
| Phone: | 5169022043 |
| Fax: |