Individual
JOANA MANSOURATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BAYONNE CROSSING WAY, BAYONNE, NJ 07002-5305
(201) 620-6512
(201) 620-6343
Mailing address
500 BAYONNE CROSSING WAY, BAYONNE, NJ 07002-5305
(201) 620-6512
(201) 620-6343
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03179500
NJ
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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