Individual
REINA TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRCST
Contact information
Practice address
411 13TH STREET, UNION CITY, NJ 07087-4203
(201) 598-9173
Mailing address
411 13TH STREET, UNION CITY, NJ 07087-4203
(201) 598-9173
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
125861
NJ
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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