Individual
SHANEKA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
179 JOHN ST, ENGLEWOOD, NJ 07631-2227
(120) 191-6325
Mailing address
179 JOHN ST, ENGLEWOOD, NJ 07631-2227
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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