Individual
JENIFER WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 HEARTHSTONE AVE, FORDS, NJ 08863-1204
(908) 868-8052
Mailing address
31 HEARTHSTONE AVE, FORDS, NJ 08863-1204
(908) 868-8052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR11411100
NJ
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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