Individual
MISS CHRISTINE JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
765 NOSTRAND AVE, BROOKLYN, NY 11216-4203
(718) 230-8600
(718) 228-2013
Mailing address
690 WYONA ST # 2R, BROOKLYN, NY 11207-7110
(347) 678-9521
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
607825
NY
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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