Individual
MARION JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
357 TRAVIS AVE, ELMONT, NY 11003-3045
(516) 469-0583
Mailing address
357 TRAVIS AVE, ELMONT, NY 11003-3045
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1041541
NY
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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