Individual
JAREEZA VILLANUEVA-FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
102 RIVERS EDGE RD, NEW YORK, NY 10035-1163
(646) 672-6767
Mailing address
630 MACE AVE APT 3F, BRONX, NY 10467-7645
(347) 612-0133
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
676417
NY
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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