Individual
MS. KRISTY MANOOKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21 GREGLAWN DR, CLIFTON, NJ 07013-2504
(862) 571-0456
Mailing address
PO BOX 4136 495 ALLWOOD RD., CLIFTON, NJ 07012-9998
(862) 571-0456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR24924700
NJ
164W00000X
Licensed Practical Nurse
26NP05903500
NJ
Other
Enumeration date
05/06/2022
Last updated
04/19/2023
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