Altagracia Raquelina Lopez-Rodriguez
Case Manager/Care Coordinator in Jamaica, NY. Individual provider (NPI-1).
NPI number1891364584
StatusActive
Last updated in NPPESJun 17, 2021
Details
- NPI
- 1891364584
- Entity type
- Individual (NPI-1)
- Name
- Altagracia Raquelina Lopez-Rodriguez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2021
- Certification date
- Jun 17, 2021
- Last updated
- Jun 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
15017 114th RdJamaica, NY 11434-1001
Phone 347-485-7560
Mailing address
15017 114th RdJamaica, NY 11434-1001
Phone 347-485-7560
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