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Ms. Katherine Anne De Jesus, PHARMD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1073133443

Katherine Anne De Jesus is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Katherine Anne De Jesus practices in Stony Brook, NY and has the professional credentials of PHARMD. The NPI Number for Katherine Anne De Jesus is 1073133443 and holds a License No. (New York).

The current practice location address for Katherine Anne De Jesus is 101 Nicholls Road Level 1, Stony Brook, NY and can be reached out via phone at 631-689-8333.

Location: 101 Nicholls Road Level 1, Stony Brook, NY, 11794-7007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073133443
Provider Name
Katherine Anne De Jesus
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
101 Nicholls Road Level 1, Stony Brook, NY, 11794-7007
Phone Number
631-689-8333
Fax Number
Provider Enumeration Date
04/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicholls Road Level 1
City
Stony Brook
State
New York
Zip
11794-7007
Phone Number
631-689-8333
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicholls Road Level 1
City
Stony Brook
State
New York
Zip
11794-7007
Phone Number
631-689-8333
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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