Individual
QUEIONNA MONE RENNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
32WG07641300
Contact information
Practice address
203 BELVIDERE AVE, JERSEY CITY, NJ 07306-6604
(551) 344-5948
Mailing address
203 BELVIDERE AVE, JERSEY CITY, NJ 07306-6604
(551) 344-5948
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
32WG07641300
NJ
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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