Individual
JULIETA B HIMALALOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2834 ROUTE 17M # 10958, NEW HAMPTON, NY 10958-5011
(646) 241-4558
Mailing address
2834 ROUTE 17M # 10958, NEW HAMPTON, NY 10958-5011
(646) 241-4558
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
462476
NY
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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