Individual
CYNTHIA JAQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 OLD TURNPIKE RD, NANUET, NY 10954-2532
(845) 624-0260
(845) 624-0264
Mailing address
4 CLEMENTS RD, LIBERTY, NY 12754-2834
(845) 423-3003
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326821
NY
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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