Individual
RACHEL MANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 HIGHLAND AVE, GLEN RIDGE, NJ 07028-1527
(973) 429-8800
Mailing address
123 HIGHLAND AVE, GLEN RIDGE, NJ 07028-1527
(973) 429-8800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00918700
NJ
Other
Enumeration date
03/17/2017
Last updated
05/07/2021
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