Individual
MS. RENETA B FAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
270 STEVENS AVE, JERSEY CITY, NJ 07305-1314
(201) 424-7576
Mailing address
270 STEVENS AVE, JERSEY CITY, NJ 07305-1314
(201) 424-7576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/16/2022
Last updated
04/26/2022
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