Individual
LAURA BAZILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 STEGMAN ST FL 1, JERSEY CITY, NJ 07305-4115
(845) 300-8521
Mailing address
23 STEGMAN ST FL 1, JERSEY CITY, NJ 07305-4115
(845) 300-8521
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0450250829
NJ
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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