Individual
KIMBERLY CARELY GARGALLO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(609) 218-8664
Mailing address
164 SAWMILL RD, BRICK, NJ 08724-1384
(732) 996-8848
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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