Individual
VAYOLA JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 PROSPECT PL, BROOKLYN, NY 11238-4205
(718) 636-1000
Mailing address
571 STERLING PL APT 2R, BROOKLYN, NY 11238-4809
(347) 853-1291
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
548001-1
NY
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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