Individual
SAMWEL GITONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 PERSHING AVENUE, CARTERET, NJ 07008
(848) 203-8264
Mailing address
304 PERSHING AVE, CARTERET, NJ 07008-3025
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06385200
NJ
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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