Individual
JENNIFER RENEE VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
300 CORPORATE BLVD, NEWBURGH, NY 12550-6402
(845) 561-3655
Mailing address
25 FORRESTER RD, ROCK TAVERN, NY 12575-5402
(845) 427-2712
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
498635
NY
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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