Individual
MISS CANDY TEJERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., MS.ED.
Contact information
Practice address
1819 160TH ST, WHITESTONE, NY 11357-3824
(718) 702-9083
Mailing address
1819 160TH ST, WHITESTONE, NY 11357-3824
(718) 702-9083
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1797252
NY
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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