Individual
ALEXANDRIA PANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(702) 528-4561
Mailing address
15 MANITOBA AVE # B, BRIGANTINE, NJ 08203-3615
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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