Individual
JANA PHILIPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 CAROLINA AVE, IRVINGTON, NJ 07111-2636
(973) 874-3368
Mailing address
159 CAROLINA AVE, IRVINGTON, NJ 07111-2636
(973) 874-3368
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NP07031100
NJ
164W00000X
Licensed Practical Nurse
Primary
8004033
NY
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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