Individual
YENNY REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 PASSAIC ST, PASSAIC, NJ 07055-5818
(973) 779-5554
Mailing address
335 PASSAIC ST, PASSAIC, NJ 07055-5818
(973) 779-5554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14908500
NJ
Other
Enumeration date
02/10/2017
Last updated
11/07/2023
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