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Individual

PRECIOUS DARELLA PATTERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3315 KINGSLAND AVE, BRONX, NY 10469-2711
(917) 902-1380
Mailing address
3315 KINGSLAND AVE, BRONX, NY 10469
(917) 902-1380

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
QR01877A
NY
Enumeration date
09/01/2016
Last updated
09/01/2016
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