Individual
MS. JETSIE LATINA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH CCP
Contact information
Practice address
11 BISHOP PLACE, RUTGERS UNIVERSITY HEALTH SERVICE, NEW BRUNSWICK, NJ 08901-1180
(732) 932-8033
(732) 932-8641
Mailing address
702 SPOTSWOOD ENGLISHTWON ROAD, MONROE TOWNSHIP, NJ 08831
(732) 446-7498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01401800
NJ
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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