Individual
GERTRUDE PATRICIA SAN JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 ROUTE 70, BRICK, NJ 08723-4014
(732) 242-7411
(732) 746-4421
Mailing address
338 DOGWOOD DR, BRICK, NJ 08723-5983
(732) 701-3184
(732) 746-4421
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
580132
NJ
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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