Jacqueline Anne Colonna

NPI #1023248044 in Mastic, New York

Provider Information

NPI Number
1023248044
Entity Type
Individual
Name
Jacqueline Anne Colonna
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jul 24, 2009
Last Updated
Jul 24, 2009

Practice Location

Address
21 MONTGOMERY AVE
City
Mastic
ZIP Code
11950-2603
Phone
(631) 466-2631

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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