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Individual

REASIEMAE LA ROCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2100 WESCOTT DR, FLEMINGTON, NJ 08822-4604
(908) 788-6100
Mailing address
1057 IRONBOUND AVE, PLAINFIELD, NJ 07060-2701

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ14919100
NJ

Other

Enumeration date
01/16/2024
Last updated
01/16/2024
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