Individual
YADID CHANIZ-RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
750 ROUTE 73 S STE 210, EVESHAM, NJ 08053-4133
(856) 399-1010
Mailing address
924 CEDAR ST, CAMDEN, NJ 08102-1730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06768600
NJ
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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