DIANA JERNIGAN-BREEDY

CORAM, NY
NPI1356748826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  743044131)
Enumeration Date2014-11-29
Last Update Date2016-11-22
Business Address
-- DIANA JERNIGAN-BREEDY
17 WYCOMB PL
CORAM, NY 11727-1043
Phone number: 718-309-3481
Mailing Address
-- DIANA JERNIGAN-BREEDY
17 WYCOMB PL
CORAM, NY 11727-1043
Phone number: 718-309-3481
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