Individual
AMANDA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
675 3RD AVE FL 5, NEW YORK, NY 10017-5731
(646) 680-8646
Mailing address
100 ALDRICH ST APT 6G, BRONX, NY 10475-4555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
700015
NY
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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