Individual
JHOANA VILLACRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14424 37TH AVE, 6L, FLUSHING, NY 11354
(917) 484-3421
Mailing address
14424 37TH AVE, 6L, FLUSHING, NY 11354-5941
(917) 484-3421
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
1252409181
NY
Other
Enumeration date
04/25/2016
Last updated
09/05/2018
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