Individual
DR. JENNIFER NICOLE MATTIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
9 MASON AVE, LINCOLN PARK, NJ 07035-1623
(973) 686-9311
Mailing address
9 MASON AVE, LINCOLN PARK, NJ 07035-1623
(973) 686-9311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00469300
NJ
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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