RON-MARVIN ALCANTARA

JERSEY CITY, NJ
NPI1487210225
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ00922000)
Enumeration Date2019-05-17
Last Update Date2019-05-22
Business Address
RON-MARVIN ALCANTARA
265 LEMBECK AVE
JERSEY CITY, NJ 07305-1809
Phone number: 551-256-1166
Mailing Address
RON-MARVIN ALCANTARA
265 LEMBECK AVE
JERSEY CITY, NJ 07305-1809
Phone number: 551-256-1166
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