Individual
JUNIDE DENESTANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 JEFFERSON AVE, APT C, ELIZABETH, NJ 07201-1153
(908) 425-3999
Mailing address
460 JEFFERSON AVE, APT C, ELIZABETH, NJ 07201-1153
(908) 425-3999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319399
NY
Other
Enumeration date
09/29/2014
Last updated
10/08/2014
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