Individual
JENNY LYNN MANALILI SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 ANDERSON ST, HACKENSACK, NJ 07601-3694
(201) 488-0654
Mailing address
22 LENAPE LN, OAKLAND, NJ 07436-2004
(201) 282-8293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR14070800
NJ
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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