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Individual

MR. REYNALD JEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NURSE

Contact information

Practice address
225 TUSCAN RD, MAPLEWOOD, NJ 07040-3028
(908) 937-5759
Mailing address
225 TUSCAN RD, MAPLEWOOD, NJ 07040-3028
(908) 937-5759

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0450365135
PRIVATE
NJ
Enumeration date
04/21/2021
Last updated
04/23/2021
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