Individual
ANGELA MARIA DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS
Contact information
Practice address
59 - 43 160TH ST 2NDFLR, FRESH MEADOWS, NY 11365-1445
(347) 368-6505
Mailing address
5943 160TH ST # 2NDFLR, FRESH MEADOWS, NY 11365-1445
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
457339041
NY
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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