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Individual

MS. JUANITA LATRELLE BOYD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2161 CENTER AVE APT 23, FORT LEE, NJ 07024-5854
(201) 585-1022
Mailing address
2161 CENTER AVE APT 23, FORT LEE, NJ 07024-5854
(201) 585-1022

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NJ

Other

Enumeration date
08/29/2011
Last updated
08/29/2011
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