Individual
MR. JAQUEL WINDBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NSHC
Contact information
Practice address
1244 THORNTON AVE, PLAINFIELD, NJ 07060-2652
(973) 978-4682
Mailing address
1244 THORNTON AVE, PLAINFIELD, NJ 07060-2652
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NJ
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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