Individual
JACINTA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6424 18TH AVE, BROOKLYN, NY 11204-3729
(212) 687-7464
Mailing address
13933 249TH ST, ROSEDALE, NY 11422-2197
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
90120001
NY
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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