Individual
MANOUCHEKA JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5 EISENHOWER RD, COLUMBIA, NJ 07832-2716
(908) 362-5360
(908) 362-8396
Mailing address
532 LAFAYETTE RD STE 300, SPARTA, NJ 07871-4411
(908) 362-5360
(908) 362-8396
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01401600
NJ
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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