Individual
KARESA RODNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16937 144TH RD, JAMAICA, NY 11434-5929
(718) 978-7221
Mailing address
18832 MANGIN AVE, SAINT ALBANS, NY 11412-2318
(718) 496-8736
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
742012
NY
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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