Individual
MS. JEAN E ENGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED PROF. NUR
Contact information
Practice address
2916 ST. THERESA AVE, APT #3D, BRONX, NY 10461-4144
(914) 290-9920
Mailing address
2916 ST. THERESA AVE, APT #3D, BRONX, NY 10461-4144
(914) 290-9920
(718) 589-8061
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
313987
NY
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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