SHANICE ALICIA BANCROFT

NEWARK, NJ
NPI1437819851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: NJ  40qb00391200)
Enumeration Date2021-12-27
Last Update Date2021-12-27
Business Address
Ms. SHANICE ALICIA BANCROFT PTA
271 WAINWRIGHT ST
NEWARK, NJ 07112-3073
Phone number: 347-712-8636
Mailing Address
Ms. SHANICE ALICIA BANCROFT PTA
271 WAINWRIGHT ST
NEWARK, NJ 07112-3073
Phone number:
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