Individual
ANGELA M DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 GRASSLANDS RD STE 101, VALHALLA, NY 10595-1520
(914) 593-0593
(914) 593-0594
Mailing address
503 GRASSLANDS RD, VALHALLA, NY 10595-1503
(914) 593-0593
(914) 593-0594
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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