Individual
JESSICA LAGUERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-8000
Mailing address
1111 OCEAN AVE APT 404, BROOKLYN, NY 11230-2046
(347) 301-6743
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421442
NY
Other
Enumeration date
03/25/2021
Last updated
05/10/2021
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