Jailene Marilyn Carrasco Moran
Jailene Marilyn Carrasco Moran is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
579 Courtlandt AveBronx, NY 10451-5013
Phone: (718) 485-2100
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1720667447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2021 |
| Last updated in NPPES | January 31, 2024 |
| Certification date | January 31, 2024 |
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