Individual
MRS. JENNIFER LEIGH DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
230 WEST PARKWAY, UNIT #10, POMPTON PLAINS, NJ 07444
(973) 835-0800
(973) 616-2766
Mailing address
230 WEST PARKWAY, UNIT #10, POMPTON PLAINS, NJ 07444
(973) 835-0800
(973) 616-2766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00058600
NJ
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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