Individual
MS. JENNIFER I MAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 ROWAN BLVD, GLASSBORO, NJ 08028-2260
(856) 507-2783
(856) 221-4138
Mailing address
134 BRIDGETON PIKE STE C, MULLICA HILL, NJ 08062-2616
(856) 507-2783
(856) 221-4138
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00224700
NJ
Other
Enumeration date
09/29/2009
Last updated
08/02/2024
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