Individual
JENESIS NAHOMI CARRASCO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 COMFORT PL, CLIFTON, NJ 07011-3818
(615) 956-5663
Mailing address
22 COMFORT PL, CLIFTON, NJ 07011-3818
(615) 956-5663
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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