Individual
MISS JEANETTA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
688 STUYVESANT AVE, IRVINGTON, NJ 07111-4815
(973) 609-2232
Mailing address
688 STUYVESANT AVE, IRVINGTON, NJ 07111-4815
(973) 609-2232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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