Individual
MARYJONILYN SEVILLA SONQUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
337 CENTRAL AVE, JERSEY CITY, NJ 07307-2919
(201) 653-0357
Mailing address
429 FAIRMOUNT AVE APT 203, JERSEY CITY, NJ 07306-5912
(323) 382-2161
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP49529600
NJ
Other
Enumeration date
04/25/2023
Last updated
04/26/2023
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