ALESIA JACKS

VALLEY COTTAGE, NY
NPI1477117869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: NY  684889)
Enumeration Date2019-05-01
Last Update Date2019-05-01
Business Address
ALESIA JACKS
706 EXECUTIVE BLVD
VALLEY COTTAGE, NY 10989-2038
Phone number: 845-362-3904
Mailing Address
ALESIA JACKS
706 EXECUTIVE BLVD
VALLEY COTTAGE, NY 10989-2038
Phone number: