Individual
MRS. RUSLYN CANDACE HARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
16317 130TH AVE, JAMAICA, NY 11434-3029
(347) 484-1569
Mailing address
16317 130TH AVE, JAMAICA, NY 11434-3029
(347) 484-1569
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1460366211
NY
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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