Individual
JAZMYN TALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14839 231ST ST, ROSEDALE, NY 11413-4244
(866) 949-4803
Mailing address
14839 231ST ST, ROSEDALE, NY 11413-4244
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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