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Individual

MRS. JAMINA JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
10201 66TH ROAD, PST, FOREST HILLS, NY 11375
(718) 830-4316
(718) 830-1158
Mailing address
8132 258TH ST, FLORAL PARK, NY 11004
(718) 347-8005

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F4302881
NY

Other

Enumeration date
11/21/2006
Last updated
07/08/2007
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