Individual
MS. MIREILLE LAVENTURE-JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
177-14 130TH AVE, JAMAICA, NY 11434
(646) 240-6110
Mailing address
17714 130TH AVE, JAMAICA, NY 11434-5826
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
395812
NY
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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