Individual
MS. JACQUELYNN DORTHEA COVIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
406 S WASHINGTON AVE, BERGENFIELD, NJ 07621-4312
(201) 384-4447
Mailing address
544 MOUNT PROSPECT AVE, NEWARK, NJ 07104-1530
(908) 404-7933
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05152500
NJ
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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