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Individual

MS. JACQUELINE FRANCIA NOBOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3898 SEDGWICK AVENUE, 2L, BRONX, NY 10463
(718) 548-1988
(718) 548-1988
Mailing address
3898 SEDGWICK AVENUE, 2L, BRONX, NY 10463
(718) 548-1988
(718) 548-1988

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004510
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000592413
APWU
NY
01
0021631
GHI
NY
05
01132636
NY
01
480015944
PALMETTO GBA RAILROAD MED
NY
Enumeration date
11/17/2006
Last updated
07/08/2007
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