Individual
MS. LISETTE MAQUIEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
335 60TH ST, WEST NEW YORK, NJ 07093-5412
(201) 854-1829
Mailing address
335 60TH ST, WEST NEW YORK, NJ 07093-5412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RIO3395800
NJ
Other
Enumeration date
11/17/2010
Last updated
01/31/2012
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