JOHN OLIVER MANANSALA HERNANDEZ

HACKENSACK, NJ
NPI1699143594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NJ  40QA01620600)
Enumeration Date2015-09-09
Last Update Date2015-09-09
Business Address
-- JOHN OLIVER MANANSALA HERNANDEZ PT
54 FREDERICK ST
HACKENSACK, NJ 07601-5235
Phone number: 201-249-1395
Mailing Address
-- JOHN OLIVER MANANSALA HERNANDEZ PT
54 FREDERICK ST
HACKENSACK, NJ 07601-5235
Phone number: 201-249-1395
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