Individual
ERICA RAQUEL DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 W 186TH ST APT D4, NEW YORK, NY 10033-2818
(646) 399-5581
Mailing address
507 W 186TH ST APT D4, NEW YORK, NY 10033-2818
(646) 399-5581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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