Individual
JAYASREE DOKKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 BROADWAY, PATERSON, NJ 07505
(908) 742-0054
Mailing address
102 BROADWAY, PATERSON, NJ 07505-1107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03702200
NJ
Other
Enumeration date
06/12/2018
Last updated
07/12/2018
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