MRS. Jenelle Nadia Thompson

NPI #1720342678 in Rosedale, New York

Provider Information

NPI Number: 1720342678
Entity Type: Individual
Name: MRS. Jenelle Nadia Thompson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 26, 2012
Last Updated: Jun 26, 2012

Practice Location

Address: 13536 245 ST
City: Rosedale
State: New York
ZIP Code: 11422
Phone: (718) 598-3103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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