Individual
MS. JOMINA LELIEZE GALANDEYNES GAUUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1417 31ST AVE, APT 2A, ASTORIA, NY 11106-4500
(818) 397-1122
Mailing address
1417 31ST AVE, APT 2A, ASTORIA, NY 11106-4500
(818) 397-1122
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
584614-1
NY
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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