Individual
LAURY ANTHENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 MILLBURN AVE STE D3, MAPLEWOOD, NJ 07040-3725
(908) 884-4937
Mailing address
1263 BISCAYNE BLVD, UNION, NJ 07083-6224
(347) 251-2681
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0289700
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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