Individual
FRANK JEFFERSON RINCON TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2641 JOHN F. KENNEDY BLVD, SUITE 505, JERSEY CITY, NJ 07306-3847
(201) 632-5554
Mailing address
168 MERCER ST, APT.2G, JERSEY CITY, NJ 07302-3447
(628) 333-1656
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00725500
NJ
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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