Individual
JACINTH WRAY-DEHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
39 BOSTON CT, NEWARK, NJ 07103-3445
(347) 659-6455
Mailing address
39 BOSTON CT, NEWARK, NJ 07103-3445
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
834711
NY
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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