Individual
MRS. SHEENA BERGANTINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9 JACKSON PL, MOONACHIE, NJ 07074-1216
(201) 450-5447
Mailing address
9 JACKSON PL, MOONACHIE, NJ 07074-1216
(201) 450-5447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
779680
NY
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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