Individual
MISS LATONDA PATRICE HINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 MACARTHUR AVE FL 2, GARFIELD, NJ 07026-1543
(862) 414-1288
Mailing address
119 MACARTHUR AVE FL 2, GARFIELD, NJ 07026-1543
(862) 414-1288
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
99-2784358
NJ
251X00000X
Supports Brokerage Agency
Primary
99-2784358
NJ
Other
Enumeration date
10/23/2024
Last updated
11/08/2024
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