Individual
JEZABELLE ENRIQUEZ KENEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOM, L.AC
Contact information
Practice address
28 CAMPUS DR, EDISON, NJ 08837-3911
(407) 454-2885
Mailing address
19 HILLTOP RD, EDISON, NJ 08820-2803
(407) 454-2885
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00155300
NJ
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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