Individual
MRS. GRACE ELIZABETH JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135-11 229 STREET, PH, LAURELTON, NY 11413
(718) 341-5424
Mailing address
13511 229TH ST, LAURELTON, NY 11413-2525
(718) 341-5424
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
317842-1
NY
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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