Individual
MS. JACQUELINE ANN GRENIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
20001 42ND AVE, BAYSIDE, NY 11361-1872
(718) 224-0490
(718) 423-7609
Mailing address
20001 42ND AVE, BAYSIDE, NY 11361-1872
(718) 224-0490
(718) 423-7609
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
382282-1
NY
Other
Enumeration date
03/18/2012
Last updated
03/18/2012
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