Jessica Ann Fantasia, RN

NPI #1548695141 in Harriman, New York

Provider Information

NPI Number: 1548695141
Entity Type: Individual
Name: Jessica Ann Fantasia, RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Sep 13, 2013
Last Updated: Sep 13, 2013

Practice Location

Address: 15 LEXINGTON HILLS
Address 2: #3
City: Harriman
State: New York
ZIP Code: 10926-3442
Phone: (845) 406-1765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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