Individual
MISS JULIANNA CARLOTTA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 RECKLESS PL, RED BANK, NJ 07701-1750
(732) 219-9002
Mailing address
108 MONMOUTH AVE, ATLANTIC HIGHLANDS, NJ 07716-2237
(732) 995-2220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00093300
NJ
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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