GRACE EUN HAE SHIN

HACKENSACK, NJ
NPI1124714928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  D8797893)
Enumeration Date2023-04-13
Last Update Date2023-04-13
Business Address
Dr. GRACE EUN HAE SHIN DO
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-9500
Mailing Address
Dr. GRACE EUN HAE SHIN DO
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number:
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