Individual
JACKELINE TOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
777 TERRACE AVE STE 311, HASBROUCK HEIGHTS, NJ 07604-3112
(201) 288-4252
Mailing address
498 PINE HILL RD, LEONIA, NJ 07605-1422
(201) 755-0793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00740200
NJ
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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