Individual
CARLO JAYSON FRANCISCO DUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8645 SAINT JAMES AVE APT 1A, ELMHURST, NY 11373-3843
(134) 746-9875
Mailing address
8645 SAINT JAMES AVE APT 1A, ELMHURST, NY 11373-3843
(134) 746-9875
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
313965-01
NY
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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