Individual
DIANE LESIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
583 AVENUE C, BAYONNE, NJ 07002-3881
(201) 437-5898
Mailing address
212 SEXTANT RD, MANAHAWKIN, NJ 08050-4732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02157900
NJ
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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