Individual
MS. JENNIFER LORRAINE STANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
191 BELLEVUE AVE, APT B6, MONTCLAIR, NJ 07043-1864
(404) 512-6850
Mailing address
191 BELLEVUE AVE, APT B6, MONTCLAIR, NJ 07043-1864
(404) 512-6850
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00082900
NJ
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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