JILLIAN ALEXA RAE PERALTA

CORAM, NY
NPI1649604190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  315188)
Enumeration Date2013-09-01
Last Update Date2013-09-01
Business Address
Ms. JILLIAN ALEXA RAE PERALTA LPN
48 FEDERAL LN
CORAM, NY 11727-1618
Phone number: 646-596-6128
Mailing Address
Ms. JILLIAN ALEXA RAE PERALTA LPN
48 FEDERAL LN
CORAM, NY 11727-1618
Phone number: 646-596-6128
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