Individual
AMELE DJEGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16347 130TH AVE, APT 11G, JAMAICA, NY 11434-3081
(718) 801-9589
Mailing address
16347 130TH AVE, APT 11G, JAMAICA, NY 11434-3081
(718) 801-9589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
656154
NY
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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