Individual
JACQUELINE TANYA HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1426 L ST, ELMONT, NY 11003-3708
(917) 655-9538
Mailing address
1426 L ST, ELMONT, NY 11003-3708
(917) 655-9538
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
664161
NY
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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