Individual
SHARONDA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 HIGHLAND AVE, NEWARK, NJ 07104-1100
(732) 992-8805
Mailing address
120 HIGHLAND AVE, NEWARK, NJ 07104-1100
(732) 992-8805
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
J63947030056792
NJ
Other
Enumeration date
07/11/2024
Last updated
07/22/2024
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