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Individual

CHRISTELLE THEODORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 HARRISON AVE, HARRISON, NJ 07029-1682
(908) 494-2587
Mailing address
235 WELLESLEY ST STE 1, WESTON, MA 02493-1571
(908) 494-2587

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
26NR22730500
NJ

Other

Enumeration date
07/22/2024
Last updated
07/22/2024
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