Most Relevant Information
Provider Data
| NPI Number: | 1003691304 |
| Provider Name: | JIGGER TABUCLIN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | 664080-01 |
Most Important Dates
| Enumeration Date: | 08/28/2023 |
| Last Updated: | 08/28/2023 |
Provider Practice Location
5409 100TH ST APT 411
CORONA
NY
113683778
Practice Location Phone/Fax
| Phone: | 1347656633 |
| Fax: |
Provider Mailing Location
265 BROADHOLLOW RD STE 200
MELVILLE
NY
117474833
Provider Mailing Phone/Fax
| Phone: | 6317599692 |
| Fax: |