Individual
JENNA MISELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2741 E 64TH ST, BROOKLYN, NY 11234-6821
(646) 296-8952
Mailing address
2741 E 64TH ST, BROOKLYN, NY 11234-6821
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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