Individual
SUQUANA S VISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 PAULUS BLVD APT 2A, NEW BRUNSWICK, NJ 08901-1598
(856) 895-8266
Mailing address
56 PAULUS BLVD APT 2A, NEW BRUNSWICK, NJ 08901-1598
(856) 895-8266
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
26NH15303800
NJ
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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