Individual
CHERLINE JEAN JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 HENHAWK RD, NORTH BALDWIN, NY 11510-1543
(516) 853-9965
Mailing address
1029 HENHAWK RD, NORTH BALDWIN, NY 11510-1543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
819782
NY
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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