Organization
HONESTUS RNFA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FENGYU JIANG RNFA (REGISTERED NURSE FIRST ASSISTANT)
(973) 637-0862
Entity
Organization
Contact information
Practice address
21 ROLLING RIDGE RD, RANDOLPH, NJ 07869-4533
(973) 876-7187
Mailing address
PO BOX 342, MOUNT FREEDOM, NJ 07970-0342
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR11389500
NJ
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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