Individual
JOHANNA CAROLINA CHICAIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 CAMBRIDGE DR STE I, MATAWAN, NJ 07747-2256
(732) 915-7160
Mailing address
20 CAMBRIDGE DR STE I, MATAWAN, NJ 07747-2256
(732) 915-7160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR22158200
NJ
Other
Enumeration date
01/04/2025
Last updated
01/04/2025
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