JERDENE BACHUS

PLAINVIEW, NY
NPI1124756515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2022-08-12
Last Update Date2022-08-12
Business Address
JERDENE BACHUS
255 EXECUTIVE DR
PLAINVIEW, NY 11803-1718
Phone number: 347-965-4381
Mailing Address
JERDENE BACHUS
13824 232ND ST
LAURELTON, NY 11413-2837
Phone number:
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