Individual
MAKENSY SIMILHOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
257 DELAWARE AVE, UNION, NJ 07083-9222
(908) 868-7347
Mailing address
257 DELAWARE AVE, UNION, NJ 07083-9222
(908) 868-7347
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00738600
NJ
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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