Individual
MS. JONNELLE HOSANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECILISTS
Contact information
Practice address
18730 KEESEVILLE AVE, SAINT ALBANS, NY 11412-2332
(347) 495-0702
Mailing address
18730 KEESEVILLE AVE, SAINT ALBANS, NY 11412-2332
(347) 495-0702
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
AEC-17-00789
NY
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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