Individual
MRS. JACQUELINE MOREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1157 ROUTE 55, LAGRANGEVILLE, NY 12540-5021
(845) 486-4860
(845) 483-3610
Mailing address
1157 ROUTE 55, LAGRANGEVILLE, NY 12540-5021
(845) 486-4860
(845) 483-3610
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
617444
NY
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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