Individual
MRS. KENITA T ECHEVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33 PEACH ST, TINTON FALLS, NJ 07724-2601
(732) 535-4646
Mailing address
33 PEACH ST, TINTON FALLS, NJ 07724-2601
(732) 535-4646
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
26NR15324800
NJ
Other
Enumeration date
10/09/2007
Last updated
04/01/2015
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