Individual
JENNA LEIGH EARNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6889
(973) 680-7809
Mailing address
1 WILLISON PARK RD, MORRISTOWN, NJ 07960-2671
(201) 213-8079
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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