Individual
OMAR ALEJANDRO HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
618 DONALD AVE, PERTH AMBOY, NJ 08861-2567
(201) 201-9889
Mailing address
618 DONALD AVE, PERTH AMBOY, NJ 08861-2567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR20186900
NJ
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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