Individual
JAQUANA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
661 ROSEDALE AVE APT 3B, BRONX, NY 10473-4269
(518) 898-2165
Mailing address
661 ROSEDALE AVE APT 3B, BRONX, NY 10473-4269
(518) 898-2165
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00168824
NY
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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