Individual
JESSICA LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2759 CRESCENT ST, ASTORIA, NY 11102-4292
(718) 626-0111
Mailing address
5002 215TH ST, BAYSIDE HILLS, NY 11364-1346
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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