Individual
JUNICE JUSTINE SANTA ANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
47 MOUNTAIN RD, SHOKAN, NY 12481
(845) 339-6683
(845) 339-6715
Mailing address
918 ULSTER AVENUE, KINGSTON, NY 12401-1344
(845) 339-6683
(845) 339-6715
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
485923-1
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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