Individual
GINA MONTANERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 VICTORIA AVE, MANTUA, NJ 08051-1183
(610) 417-5719
Mailing address
165 VICTORIA AVE, MANTUA, NJ 08051-1183
(610) 417-5719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03281900
NJ
Other
Enumeration date
02/27/2016
Last updated
02/27/2016
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