JUAN DE JESUS

OZONE PARK, NY
NPI1851076905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-06-16
Last Update Date2023-06-16
Business Address
JUAN DE JESUS
10450 102ND ST
OZONE PARK, NY 11417-2237
Phone number: 929-354-1829
Mailing Address
JUAN DE JESUS
10450 102ND ST
OZONE PARK, NY 11417-2237
Phone number: 929-354-1829
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