JESSICA MISTRETTA

MEDFORD, NY
NPI1568106979
Former NameJESSICA BORNEMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2022-04-21
Last Update Date2022-04-21
Business Address
Mrs. JESSICA MISTRETTA
179 MIDDLE ISLAND RD
MEDFORD, NY 11763-1517
Phone number: 631-880-3081
Mailing Address
Mrs. JESSICA MISTRETTA
179 MIDDLE ISLAND RD
MEDFORD, NY 11763-1517
Phone number: 631-880-3081
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