Individual
MRS. JACQUELINE BRUTUS LAGUERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
183 E MAIN ST, WASHINGTONVILLE, NY 10992-1753
(845) 459-5674
Mailing address
183 E MAIN ST, WASHINGTONVILLE, NY 10992-1753
(845) 459-5674
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
416289
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
416289
NY
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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