Individual
MIRELLE JUMEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,CVRN,BC
Contact information
Practice address
479 HEMPSTEAD TPKE STE C, ELMONT, NY 11003-1602
(516) 395-1073
(516) 544-6621
Mailing address
479 HEMPSTEAD TPKE STE C, ELMONT, NY 11003-1602
(516) 395-1073
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
6613301
NY
251E00000X
Home Health Agency
Primary
661330-1
NY
376G00000X
Nursing Home Administrator
6613301
NY
Other
Enumeration date
03/01/2022
Last updated
03/30/2022
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