Individual
JACQUELINE YASHAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 GRAND AVE STE 3, ENGLEWOOD, NJ 07631-3599
(201) 541-8600
Mailing address
1088 DEARBORN RD, FORT LEE, NJ 07024-4235
(718) 864-9798
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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