Individual
QUAWI HENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 KEARNY ST, NEWARK, NJ 07104-2611
(732) 306-2909
Mailing address
55 WASHINGTON ST, SUITE #204, EAST ORANGE, NJ 07017-1401
(732) 306-2909
(201) 353-8009
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
0711069
NJ
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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