Individual
MISS ROCIO LIZET IPANAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
214 ROUTE 36, WEST LONG BRANCH, NJ 07764-1305
(732) 222-8000
(732) 963-2246
Mailing address
214 ROUTE 36, WEST LONG BRANCH, NJ 07764-1305
(732) 222-8000
(732) 963-2246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00553500
NJ
Other
Enumeration date
01/06/2020
Last updated
04/26/2023
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