JACQUELYN VICTORY DEJESUS

NEW YORK, NY
NPI1154153765
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-08-14
Last Update Date2024-08-14
Business Address
JACQUELYN VICTORY DEJESUS
525 E 68TH ST # 179
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
Mailing Address
JACQUELYN VICTORY DEJESUS
480 ROUTE 17M
MIDDLETOWN, NY 10940-4525
Phone number: