Individual
JOMARI VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 ASHBURN AVE, MANAHAWKIN, NJ 08050-2363
(848) 448-5777
Mailing address
35 ASHBURN AVE, MANAHAWKIN, NJ 08050-2363
(848) 448-5777
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01217400
NJ
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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