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Individual

JERSOON E GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11835 QUEENS BLVD FL 6, FOREST HILLS, NY 11375-7211
(347) 651-7770
(718) 651-7254
Mailing address
11835 QUEENS BLVD FL 6, FOREST HILLS, NY 11375-7211
(347) 651-7770
(718) 651-7254

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
12/20/2018
Last updated
12/20/2018
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