RECISA DALE FEARON

BAYONNE, NJ
NPI1457185654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  310202)
Enumeration Date2024-08-29
Last Update Date2024-08-29
Business Address
Miss RECISA DALE FEARON APN
29 E 29TH ST
BAYONNE, NJ 07002-4654
Phone number: 201-858-5232
Mailing Address
Miss RECISA DALE FEARON APN
23 ARCH ST APT 1
BLOOMFIELD, NJ 07003-4606
Phone number: 973-580-4690
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