Individual
JOSE E HENNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 N 17TH ST, PROSPECT PARK, NJ 07508-1827
(862) 297-5378
Mailing address
85 N 17TH ST, PROSPECT PARK, NJ 07508-1827
(862) 297-5378
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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