Individual
MARIELVI REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 VAN WAGENEN AVE APT 1R, JERSEY CITY, NJ 07306-5631
(201) 306-7385
Mailing address
25 VAN WAGENEN AVE APT 1R, JERSEY CITY, NJ 07306-5631
(201) 306-7385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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