Individual
JAHSHELA COFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 JACKSON AVE APT PH3B, LONG ISLAND CITY, NY 11101-3092
(917) 553-6302
Mailing address
2810 JACKSON AVE APT PH3B, LONG ISLAND CITY, NY 11101-3092
(917) 553-6302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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