Most Relevant Information
Provider Data
| NPI Number: | 1003359910 |
| Provider Name: | TELISHA MCLEAN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 319853 |
Most Important Dates
| Enumeration Date: | 11/24/2016 |
| Last Updated: | 11/24/2016 |
Provider Practice Location
912 E 224TH ST
#2F
BRONX
NY
104664634
Practice Location Phone/Fax
| Phone: | 6463197607 |
| Fax: |
Provider Mailing Location
912 E 224TH ST
#2F
BRONX
NY
104664634
Provider Mailing Phone/Fax
| Phone: | 6463197607 |
| Fax: |