Individual
JEANETTE JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WSP
Contact information
Practice address
710 TINTON AVE APT 13E, BRONX, NY 10455-2222
(917) 855-4388
Mailing address
710 TINTON AVE APT 13E, BRONX, NY 10455-2222
(917) 855-4388
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NY
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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