JACQUES MYRIAMA LUCIEN

FORT LEE, NJ
NPI1336700806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY  402687)
Enumeration Date2019-06-25
Last Update Date2019-09-24
Business Address
JACQUES MYRIAMA LUCIEN
800 PARK AVE
FORT LEE, NJ 07024-3771
Phone number: 908-659-6250
Mailing Address
JACQUES MYRIAMA LUCIEN
PO BOX 1084
FORT LEE, NJ 07024-1084
Phone number: 908-659-6250
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