Individual
JESSICA RIVERA ERAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 FINLEY RD, EDISON, NJ 08817-3825
(908) 423-9916
Mailing address
41 FINLEY RD, EDISON, NJ 08817-3825
(908) 423-9916
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
630657
NJ
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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