Individual
MISS ALIXZONDRA S JASMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7 SUMMERCRESS LN, CORAM, NY 11727-2616
(718) 344-3625
Mailing address
7 SUMMERCRESS LN, CORAM, NY 11727-2616
(718) 344-3625
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301703-1
NY
Other
Enumeration date
12/10/2011
Last updated
12/10/2011
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