Individual
JENALYN CANULLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
842 BROADWAY, WEST LONG BRANCH, NJ 07764-1503
(732) 222-0180
(732) 222-3990
Mailing address
842 BROADWAY, WEST LONG BRANCH, NJ 07764-1503
(732) 222-0180
(732) 222-3990
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00073600
NJ
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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