Individual
MS. MARY JESNA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 PARK VIEW AVE, JERSEY CITY, NJ 07302-7380
(201) 885-2939
Mailing address
78 CONGRESS ST APT 201, JERSEY CITY, NJ 07307-1949
(973) 668-7884
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04044200
NJ
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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