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Individual

MINI JIJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,APN-C

Contact information

Practice address
884 SOUTH SPRINGFIELD AVE, #39, SPRINGFIELD, NJ 07081-3314
(908) 635-2555
Mailing address
884 S SPRINGFIELD AVE, #39, SPRINGFIELD, NJ 07081-3314
(908) 635-2555

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00374400
NJ

Other

Enumeration date
05/11/2012
Last updated
05/11/2012
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