Individual
JILMIRY CAMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
372 ROOSEVELT AVE, LYNDHURST, NJ 07071-3317
(917) 709-6715
Mailing address
372 ROOSEVELT AVE, LYNDHURST, NJ 07071-3317
(917) 709-6715
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/14/2022
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