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Individual

KENIA A DE JESUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
535 8TH AVE 2ND FL, NEW YORK, NY 10018-4332
(212) 787-9700
Mailing address
535 8TH AVE 2ND FL, NEW YORK, NY 10018-4332
(212) 787-9700

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NY

Other

Enumeration date
08/25/2019
Last updated
08/25/2019
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