MARIELY VIDAL

FRESH MEADOWS, NY
NPI1003203746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-04-21
Last Update Date2015-04-21
Business Address
-- MARIELY VIDAL BA
16211 76TH AVE
FRESH MEADOWS, NY 11366-1133
Phone number: 917-806-1579
Mailing Address
-- MARIELY VIDAL BA
16211 76TH AVE
FRESH MEADOWS, NY 11366-1133
Phone number: 917-806-1579
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