Individual
CARMINA JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 HALE PL, TAPPAN, NY 10983-1001
(845) 222-0111
Mailing address
17 KEVIN CT, CONGERS, NY 10920-2465
(845) 270-5552
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303357-1
NY
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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