Individual
MRS. INNA YESELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
901 WEST MAIN STREET, SUITE 162, FREEHOLD, NJ 07728
(732) 414-1977
Mailing address
1481 ARDEN AVE, STATEN ISLAND, NY 10312-5407
(718) 966-4405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RS00698600
NJ
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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