Individual
BRYAN STALIN CARDENAS JARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 GRAND ST, JERSEY CITY, NJ 07302
(201) 915-2000
Mailing address
395 GRAND ST FL 2, JERSEY CITY, NJ 07302-4238
(732) 423-5232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06722900
NJ
Other
Enumeration date
12/07/2021
Last updated
07/01/2022
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