Individual
EUDES JOELLE FRANCILOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
611 E 29TH ST, BROOKLYN, NY 11210-2429
(561) 452-1988
Mailing address
611 E 29TH ST, BROOKLYN, NY 11210-2429
(561) 452-1988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019613
NY
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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