Individual
MARTINE GARCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 CONKLIN AVE, HILLSIDE, NJ 07205-1423
(973) 868-4901
Mailing address
229 CONKLIN AVE, HILLSIDE, NJ 07205-1423
(973) 868-4901
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06258700
NJ
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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