Individual
MRS. YESSENIA CATHERINE JURADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD-N
Contact information
Practice address
3712 108TH ST, CORONA, NY 11368-2025
(718) 651-4000
Mailing address
3712 108TH ST, CORONA, NY 11368-2025
(718) 651-4000
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
011458
NY
Other
Enumeration date
12/22/2019
Last updated
07/18/2023
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