GRACE AMISTOSO

WOODBRIDGE, NJ
NPI1063848885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NJ  26NC06249800)
Enumeration Date2013-09-25
Last Update Date2013-09-25
Business Address
-- GRACE AMISTOSO APN
LOCK BAG & WOODBRIGE AVE E JERSEY STATE PRISON ATTN MEDICAL DEPT
WOODBRIDGE, NJ 07067
Phone number: 732-499-5010
Mailing Address
-- GRACE AMISTOSO APN
LOCKBAG R E JERSEY STATE PRISON ATTN MEDICAL DEPT
RAHWAY, NJ 07106
Phone number: 732-399-5010