Individual
MS. KRISTINA DANIELLE MANCINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 GILL LN, ISELIN, NJ 08830-3059
(732) 404-1580
Mailing address
400 GILL LN, ISELIN, NJ 08830-3059
(732) 404-1580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00260200
NJ
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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