Individual
MISS JOLENE PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14319 84TH RD, BRIARWOOD, NY 11435-2227
(718) 913-1460
Mailing address
14319 84TH RD, BRIARWOOD, NY 11435-2227
(718) 913-1460
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
810243
NY
Other
Enumeration date
06/13/2022
Last updated
09/22/2022
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