Individual
TENISHIA GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
806 STAMFORD DR, NEPTUNE, NJ 07753-4221
(848) 342-8085
Mailing address
806 STAMFORD DR, NEPTUNE, NJ 07753-4221
(848) 342-8085
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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