Individual
JANNELLE LAGUESMA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 BROADWAY, PATERSON, NJ 07514-1916
(201) 873-9977
Mailing address
42 LEONARD PL APT 2, RIDGEWOOD, NJ 07450-5005
(201) 873-9977
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00978600
NJ
Other
Enumeration date
10/29/2019
Last updated
06/22/2020
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