Individual
MISS YANELA LICOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 W MAIN ST, FREEHOLD, NJ 07728-2524
(732) 780-3529
Mailing address
326 W MAIN ST, FREEHOLD, NJ 07728-2524
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NJ
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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