Individual
YVETTE MARIE SAN JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8060 TROTTING COURSE LN, GLENDALE, NY 11385-8046
(347) 596-3677
Mailing address
8060 TROTTING COURSE LN, GLENDALE, NY 11385-8046
(347) 596-3677
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
540075-1
NY
Other
Enumeration date
09/27/2014
Last updated
09/27/2014
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