Individual
CHIMENE DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 EDGE LN, WILLINGBORO, NJ 08046-2413
(551) 333-4190
Mailing address
15 EDGE LN, WILLINGBORO, NJ 08046-2413
(551) 333-4190
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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