Individual
JACQUELINE THOMAS-ATEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 5 AVE, JERSEY CITY, NJ 07306
(347) 624-8095
Mailing address
91 5 AVE, JERSEY CITY, NJ 07306
(347) 624-8095
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
206938
NY
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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