Individual
JACQUELEEN MAREEN BIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 WOODSIDE AVE, NEWARK, NJ 07104-4362
(407) 920-6915
Mailing address
4631 SLOEWOOD CT FL 32757, MOUNT DORA, FL 32757-7238
(407) 920-6915
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/30/2023
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