Individual
DIANA JEAN-JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7832 MICHENER AVE, PHILADELPHIA, PA 19150-1317
(267) 456-7119
Mailing address
7832 MICHENER AVE, PHILADELPHIA, PA 19150-1317
(267) 456-7119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN591982
PA
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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