Individual
LEYBIS DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 E 213TH ST, BRONX, NY 10467-1101
(347) 427-0250
(347) 602-7779
Mailing address
11 E 213TH ST, BRONX, NY 10467-1101
(347) 427-0250
(347) 602-7779
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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