Individual
MS. EUDORA JASMINE WAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 IRVING ST, VALLEY STREAM, NY 11580-1634
(646) 431-9446
(516) 285-0518
Mailing address
41 IRVING ST, VALLEY STREAM, NY 11580-1634
(646) 431-9446
(516) 285-0518
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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