Individual
MRS. NICOLA GONNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
173 HECKEL ST, BELLEVILLE, NJ 07109-1005
(862) 201-9886
Mailing address
173 HECKEL ST, BELLEVILLE, NJ 07109-1005
(862) 201-9886
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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