Individual
ANNETTE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
675 TEA ST APT 3307, BOUND BROOK, NJ 08805-1198
(908) 967-0540
Mailing address
675 TEA ST APT 3307, BOUND BROOK, NJ 08805-1198
(908) 967-0540
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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