Jermaine Lamont Butler

NPI #1093561995 in Roosevelt, New York

Provider Information

NPI Number: 1093561995
Entity Type: Individual
Name: Jermaine Lamont Butler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Apr 30, 2024
Last Updated: Apr 30, 2024

Practice Location

Address: 246 E GREENWICH AVE
City: Roosevelt
State: New York
ZIP Code: 11575-1205
Phone: (718) 413-6822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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