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Jessica Agbossoumonde

NPI 1477337509 · on the registry since 2023 · sole proprietor

Practice

Address
18 Craigville Rd
Goshen, NY 10924
Phone
(757) 292-3113

Registry record

Primary taxonomy
163WX1500X
163WX1500X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York