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Individual

KAITLYN ETTINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
946 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028-1308
(973) 743-1121
Mailing address
5305 TUDOR DR, POMPTON PLAINS, NJ 07444-1121
(973) 580-4453

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
26NR17595100
NJ

Other

Enumeration date
02/11/2022
Last updated
02/11/2022
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