Individual
DR. JACQUELINE MICHELLE WISNIK-RAINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 BEAVERSON BLVD, BRICK, NJ 08723-7812
(732) 942-5056
Mailing address
35 BEAVERSON BLVD, BRICK, NJ 08723-7812
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
171M00000X
NJ
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
05/03/2023
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