Individual
JAYMAR CUNANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
488 PAVONIA AVE, JERSEY CITY, NJ 07306-1304
(201) 253-6006
Mailing address
488 PAVONIA AVE, JERSEY CITY, NJ 07306-1304
(201) 253-6006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
638921-1
NY
Other
Enumeration date
03/19/2013
Last updated
03/20/2013
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