Individual
JANESSA MARIE BAQUERIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
686 DONALD AVE, PERTH AMBOY, NJ 08861-2529
(201) 410-1644
Mailing address
686 DONALD AVE, PERTH AMBOY, NJ 08861-2529
(201) 410-1644
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023193482
NJ
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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