Individual
GRACE JEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 CARNATION DR, NEW MILFORD, NJ 07646-2507
(201) 914-2232
Mailing address
1029 CARNATION DR, NEW MILFORD, NJ 07646-2507
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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