Individual
MARY ANNJO MOSTE BALBUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
396 CATOR AVE APT 1, JERSEY CITY, NJ 07305-2055
(551) 221-7454
Mailing address
396 CATOR AVE APT 1, JERSEY CITY, NJ 07305-2055
(551) 221-7454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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