Individual
JESSICA SALAMANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MAIN ST STE B, GOSHEN, NY 10924-1636
(845) 458-8661
Mailing address
301 MAIN ST STE B, GOSHEN, NY 10924-1636
(845) 458-8661
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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