Individual
GRACE IGBINOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 TEMPLE PL, IRVINGTON, NJ 07111-2911
(908) 967-3051
Mailing address
24 TEMPLE PL, IRVINGTON, NJ 07111-2911
(908) 967-3051
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NJ
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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