Individual
BROOKE BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ROMNEY RD, BOUND BROOK, NJ 08805-1813
(908) 279-2148
Mailing address
1 ROMNEY RD, BOUND BROOK, NJ 08805-1813
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NJ
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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