EVANGELINE Q LAXAMANA

HACKENSACK, NJ
NPI1194759340
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01154700)
Enumeration Date2006-07-11
Last Update Date2007-07-08
Business Address
Mrs. EVANGELINE Q LAXAMANA RPT
385 PROSPECT AVE
HACKENSACK, NJ 07601-2570
Phone number: 201-968-0303
Mailing Address
Mrs. EVANGELINE Q LAXAMANA RPT
385 PROSPECT AVE
HACKENSACK, NJ 07601-2570
Phone number: 201-968-0303
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