Individual
JESSICA MARISOL DEL VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 E WILLOW ST, MILLBURN, NJ 07041-1416
(973) 379-5055
(973) 379-5324
Mailing address
784 LAYTON DR, UNION, NJ 07083-6438
(973) 986-3230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00761600
NJ
Other
Enumeration date
01/28/2018
Last updated
08/06/2019
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