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Individual

JAQUILO D BOTTINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
764 PALISADE AVE STE 2B, TEANECK, NJ 07666-3129
(973) 955-9118
(201) 537-5478
Mailing address
764 PALISADE AVE STE 2B, TEANECK, NJ 07666-3129
(973) 955-9118
(201) 357-5478

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
26NH11329800
NJ
163WH0200X
Home Health Registered Nurse
Primary
26NR16772500
NJ

Other

Enumeration date
10/20/2017
Last updated
11/14/2022
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