Individual
YVELINE JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16937 144TH RD, JAMAICA, NY 11434-5929
(718) 978-7221
Mailing address
18325 DALNY RD, JAMAICA, NY 11432-2464
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
543634-1
NY
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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