Individual
MRS. JACINTA P SAN LUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 725-2800
(908) 704-1790
Mailing address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 725-2800
(908) 704-1790
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
26NR06599500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023701
—
NJ
Enumeration date
06/21/2007
Last updated
07/09/2007
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