Individual
CARMEL BETHSAIDA LOUIS-JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
457 HIGHLAND AVE APT 6L, ORANGE, NJ 07050-2391
(973) 280-8908
Mailing address
457 HIGHLAND AVE APT 6L, ORANGE, NJ 07050-2391
(973) 280-8908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01344000
NJ
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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