Organization
UBERSTICKS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEYANIRA PENA PLACENCIA (OWNER)
(973) 405-8595
Entity
Organization
Contact information
Practice address
17 MONROE STREET, PASSAIC, NJ 07055-8108
(973) 405-8595
(973) 272-3647
Mailing address
4 MONROE ST APT 2A, PASSAIC, NJ 07055-8108
(973) 405-8595
(973) 272-3647
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
05/12/2022
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