Individual
FRANCES JAQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 COZINE AVE APT 3D, BROOKLYN, NY 11207-9229
(347) 451-1009
Mailing address
7102 PARK AVE, FRESH MEADOWS, NY 11365-4105
(718) 380-7600
(718) 820-9197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
361848492
NY
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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