Individual
JANNELLE GINEBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 RAMAPO RD, GARNERVILLE, NY 10923-1735
(845) 228-8960
Mailing address
75 RAMAPO RD, GARNERVILLE, NY 10923-1735
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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