Individual
ELAYNE JOVANNA MESA-DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2258 GRAND AVE BSMT B1, BRONX, NY 10453-1536
(917) 216-2574
Mailing address
2258 GRAND AVE BSMT B1, BRONX, NY 10453-1536
(917) 216-2574
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/19/2016
Last updated
11/19/2016
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